摘要
Endoscopic ultrasound(EUS) guided drainage of pancreatic fluid collections(PFC) has become increasingly popular and become first line management option in many centers. Use of therapeutic echoendoscopes has greatly increased the applicability of EUS guided transmural drainage. Drainage is indicated in symptomatic PFCs, PFC related infection, bleed, luminal obstruction, fistulization and biliary obstruction. EUS guided transmural drainage of PFCs is preferred in patients with non bulging lesions, portal hypertension, bleeding tendency and in those whom conventional drainage has failed. In the present decade significant progress has been made in minimally invasive endoscopic techniques. There are newer stent designs, access devices and techniques for more efficient drainage of PFCs. In this review, we discuss the EUS guided drainage of PFCs in acute pancreatitis.
Endoscopic ultrasound （EUS） guided drainage ofpancreatic fluid collections （PFC） has become increasinglypopular and become first line managementoptionin many centers. Use of therapeutic echoendoscopeshas greatly increased the applicability of EUS guidedtransmural drainage. Drainage is indicated insymptomatic PFCs, PFC related infection, bleed, luminalobstruction, fistulization and biliary obstruction. EUSguided transmural drainage of PFCs is preferred inpatients with non bulging lesions, portal hypertension,bleeding tendency and in those whom conventionaldrainage has failed. In the present decade significantprogress has been made in minimally invasive endoscopictechniques. There are newer stent designs,access devices and techniques for more efficientdrainage of PFCs. In this review, we discuss the EUSguided drainage of PFCs in acute pancreatitis.
