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Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections.
Gut and Liver ( IF 3.4 ) Pub Date : 2021-07-27 , DOI: 10.5009/gnl210001
Chi Hyuk Oh 1 , Tae Jun Song 2 , Jun Kyu Lee 3 , Jin-Seok Park 4 , Jae Min Lee 5 , Jun Hyuk Son 6 , Dong Kee Jang 3 , Miyoung Choi 7 , Jeong-Sik Byeon 2 , In Seok Lee 8 , Soo Teik Lee 9 , Ho Soon Choi , Ho Gak Kim 10 , Hoon Jai Chun 5 , Chan Guk Park 11 , Joo Young Cho 12
Affiliation  

The Korean Society of Gastrointestinal Endoscopy developed medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidencebased Healthcare Collaborating Agency. Previous studies on peripancreatic fluid collections (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. Applicable targets of these guidelines are patients who have PFCs because of complications from acute pancreatitis. Before treatment, PFCs should be accurately evaluated via computed tomography (CT), magnetic resonance imaging, and endoscopic sonography (EUS) of the abdomen, and indications for drainage should be carefully considered. Endoscopic drainage is the primary recommendation, and in most cases it is performed under EUS guidance. A plastic or metal stent is used for drainage based on the characteristics of the fluid collection. After drainage is performed, it is followed up with CT, and it is recommended that the stent be removed when fluid collection is resolved. This study aimed to develop guidelines and recommendations for the endoscopic management of PFCs.

中文翻译:

胰周积液内镜管理临床实践指南。

韩国胃肠内窥镜学会参考了国家循证医疗保健合作机构编制的临床实践指南制定手册,制定了医疗指南。检索了以往关于胰周积液 (PFC) 的研究,并在专家的帮助下选择了某些研究。然后,选择了一组关键问题,并系统地回顾了治疗指南。这些问题和建议的答案是通过同行评审选出的。这些指南的适用对象是因急性胰腺炎并发症而患有 PFC 的患者。治疗前,应通过腹部计算机断层扫描 (CT)、磁共振成像和内镜超声检查 (EUS) 准确评估 PFC,应仔细考虑引流指征。内镜引流是主要推荐,在大多数情况下,它是在 EUS 指导下进行的。根据流体收集的特性,使用塑料或金属支架进行引流。引流后复查CT,建议积液解决后再取出支架。本研究旨在为 PFC 的内镜管理制定指南和建议。
更新日期:2021-07-27
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