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KMID : 0985520220270020061
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Korean Journal of Pancreas and Biliary Tract
2022 Volume.27 No. 2 p.61 ~ p.80
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Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
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Oh Chi-Hyuk
Song Tae-Jun
Lee Jun-Kyu
Park Jin-Suk
Lee Jae-Min
Son Jun-Hyuk
Jang Dong-Kee
Choi Mi-Young
Byeon Jeong-Sik
Lee In-Seok
Lee Soo-Teik
Choi Ho-Soon
Kim Ho-Gak
Chun Hoon-Jai
Park Chan-Guk
Cho Joo-Young
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Abstract
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Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on indication for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.
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KEYWORD
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Pancreatitis, acute, Complications, Pseudocyst, Endoscopy, Treatment guidelines
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