Endoscopic Drainage of Pancreatic Fluid Collections

Slides:

Advertisements

Similar presentations

Risk of Neoplasia After Colectomy in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis Lauranne A.A.P. Derikx, Loes H.C.

Advertisements

Imaging of Acute Pancreatitis and Its Complications

Volume 1, Issue 1, Pages (September 2016)

Epidermoid Cyst in an Intrapancreatic Accessory Spleen Diagnosed by Typical Radiographic Images and Endoscopic Ultrasound Fine-Needle Aspiration Findings.

Saurabh Dawra, Vishal Sharma, Usha Dutta

Imaging of Acute Pancreatitis and Its Complications

Todd H. Baron, Richard A. Kozarek

Pulling the Trigger on Pancreatic Cysts

Clinical Management of Patients With Acute Pancreatitis

Endoscopic and Percutaneous Drainage of Symptomatic Walled-Off Pancreatic Necrosis Reduces Hospital Stay and Radiographic Resources Michael Gluck, Andrew.

Acute Pancreatitis Part I: Approach to Early Management

High In-hospital Mortality After Percutaneous Endoscopic Gastrostomy: Results of a Nationwide Population-based Study Gaurav Arora, Don Rockey, Samir.

The Dynamic Nature of Fluid Resuscitation in Acute Pancreatitis

Volume 2, Issue 3, Pages (March 2017)

Barham K. Abu Dayyeh, Todd H. Baron

Shou–Jiang Tang, Feriyl Bhaijee

A Shocking Cystory Clinical Gastroenterology and Hepatology

Linda A. Feagins, Stefan D. Holubar, Sunanda V. Kane, Stuart J

Treatment of Necrotizing Pancreatitis

B. Joseph Elmunzer, Cyrus R. Piraka Gastroenterology

Volume 3, Issue 2, Pages (February 2018)

Nishant Puri, MD, Robin A. Graham, RN, CGRN VideoGIE

Retroperitoneal Benign Schwannoma in the Suprapancreatic Area

Judy A. Trieu, Mohammad Bilal, Ali Hashmi

B. Joseph Elmunzer, Paula M. Novelli, Jason R. Taylor, Cyrus R

Acute Pancreatitis Part II: Approach to Follow-up

Chan-Ming Chen, Chao-Chin Chao, Hsin-Hui Chiu

Diffuse Enlargement of the Pancreas: An Unusual Radiologic Presentation of a Pancreatic Neuroendocrine Tumor Oscar Santes, Jesús Morales-Maza, Ismael.

Perforation Risk Associated With Percutaneous Endoscopic Gastrostomy–Jejunal Tube Feeding in Pancreatic Walled Off Necrosis Bronte A. Holt, Shyam Varadarajulu

Reverse Double-Wire Cannulation of the Pancreatic Duct

Pancreatic Duct Drainage for the Treatment of a Huge Pancreatic Cyst Associated With Autoimmune Pancreatitis Hiroyuki Matsubayashi, Toru Matsui, Hiroyuki.

Patrick B. Allen, Paul J. Kettle, Inder Mainie

Atif Saleem, David H. Bruining, Todd H. Baron

Similar Efficacies of Endoscopic Ultrasound–guided Transmural and Percutaneous Drainage for Malignant Distal Biliary Obstruction Tae Hoon Lee, Jun-Ho.

Chronic Pancreatitis: Making the Diagnosis

Activity-Based Costing and Management in a Hospital-Based GI Unit

Endoscopic Therapy for Barrett's Esophagus

Recurrent Jejunal Intussusception Caused by Heterotopic Pancreas Mass

Cholangioscopy by Using Narrow-Band Imaging and Transpapillary Radiotherapy for Mucin-Producing Bile Duct Tumor Xin–Liang Lu, Takao Itoi, Kensuke Kubota

Association Between Endoscopist and Center Endoscopic Retrograde Cholangiopancreatography Volume With Procedure Success and Adverse Outcomes: A Systematic.

AGA Clinical Practice Update on Functional Gastrointestinal Symptoms in Patients With Inflammatory Bowel Disease: Expert Review Jean-Frederic Colombel,

Emergency Double-Stenting and Surgery for the Successful Management of Massive Upper Gastrointestinal Bleeding Caused by Mycotic Aortic Aneurysm Gerald.

Prevalence, Diagnosis, and Profile of Autoimmune Pancreatitis Presenting with Features of Acute or Chronic Pancreatitis Raghuwansh P. Sah, Rahul Pannala,

Rapid Disappearance of a Pancreatic Cyst After Steroid Therapy in a Patient With Autoimmune Pancreatitis Terumi Kamisawa, Hajime Anjiki, Naoto Egawa

Metastatic Malignant Melanoma of the Gastrointestinal Tract

Thurarshen Jeyalingam, Yuto Shimamura, Christopher Teshima

Dushyant Singh, Reetu Singh, Wendell K. Clarkston

Massive bleeding after EUS-guided walled-off necrosis drainage

Endoscopic gallbladder drainage in high-risk surgical patients

Volume 3, Issue 1, Pages (January 2018)

A Young Woman With Gallstone Pancreatitis and Abnormal Liver Tests: When Is Endoscopic Retrograde Cholangiopancreatography Needed? Andrew D. Rhim, Michael.

Volume 1, Issue 1, Pages (September 2016)

The Incidental Pancreatic Cyst on Abdominal Computerized Tomography Imaging: Diagnosis and Management William R. Brugge Clinical Gastroenterology and.

Primary Conservative Treatment Results in Mortality Comparable to Surgery in Patients With Infected Pancreatic Necrosis Pramod Kumar Garg, Manik Sharma,

Association Between Advances in High-Resolution Cross-Section Imaging Technologies and Increase in Prevalence of Pancreatic Cysts From 2005 to 2014 Maria.

Early Precut Sphincterotomy Does Not Increase Risk During Endoscopic Retrograde Cholangiopancreatography in Patients With Difficult Biliary Access: A.

Nicolas Williet, William J. Sandborn, Laurent Peyrin–Biroulet

Unusual Cause of Fever and Abdominal Pain: Acute Suppuration of the Pancreas Duct and Endoscopic Management Robert Hirten, Divyesh V. Sejpal, Arvind.

Hepatic Cyst? Clinical Gastroenterology and Hepatology

Prevention of Gastric Volvulus-induced Recurrent Acute Pancreatitis by Percutaneous Endoscopic Gastropexy Mitsuhiro Nikaido, Shin’ichi Miyamoto, Shoji.

Volume 4, Issue 5, Pages (May 2019)

Abdominal Aortitis Associated With Autoimmune Pancreatitis

Minimal-Change Esophagitis on Narrow-Band Imaging

Endoscopic Therapy of Jejunal Diphyllobothrium nihonkaiense Infection

Rintaro Hashimoto, Akimichi Chonan

Adverse Outcomes: Why Bad Things Happen to Good People

Volume 4, Issue 6, Pages (June 2019)

Rintaro Hashimoto, Akimichi Chonan

Subcapsular Hepatic Fluid Collection Caused by Cardiac Dysfunction

Metastatic Malignant Melanoma of the Gastrointestinal Tract

Presentation transcript:

Endoscopic Drainage of Pancreatic Fluid Collections B. Joseph Elmunzer Clinical Gastroenterology and Hepatology Volume 16, Issue 12, Pages 1851-1863.e3 (December 2018) DOI: 10.1016/j.cgh.2018.03.021 Copyright © 2018 AGA Institute Terms and Conditions

Figure 1 General algorithm for the management of inflammatory pancreatic fluid collections. ANC, acute necrotic collection; APFC, acute peripancreatic fluid collection; VARD, video-assisted retroperitoneal debridement. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions

Figure 2 Balloon dilation of the transmural tract. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions

Figure 3 Endoscopic debridement of necrotic cyst content. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions

Figure 4 Percutaneous drainage of a disconnected section of a necrosis cavity not within endoscopic reach. (A) Compartment of infected walled-off necrosis (short arrow) that had become disconnected from the main cavity (long arrow). (B) This compartment was drained percutaneously (arrow) after endoscopic debridement of the main cavity. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions

Figure 5 Fully covered metal stent placed across transmural tract. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions

Figure 6 Successful bridging of a disconnected pancreatic duct during ERCP. (A) Coronal CT image showing a disconnected pancreas (short arrow) upstream of a WON (long arrow). (B) Pancreatogram revealing extravasation of contrast (arrow) into the WON without filling of the upstream duct. (C) After placement of a fully covered SEMS (long arrow) to provide transpapillary drainage of the WON cavity in the head, the upstream disconnected duct is cannulated by trial and error (short arrow). (D) A plastic pancreatic stent is placed through the SEMS into the upstream duct completely bridging the disruption. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions

Supplementary Figure 1 Large piece of necrosis removed by slow and steady traction. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions

Supplementary Figure 2 Complete occlusion of a LAMS (small arrows) by blood clot despite placement of a plastic double pigtail stent (long arrow) through its lumen. Clinical Gastroenterology and Hepatology 2018 16, 1851-1863.e3DOI: (10.1016/j.cgh.2018.03.021) Copyright © 2018 AGA Institute Terms and Conditions