4.3 Review

Controversies in EUS-guided treatment of walled-off necrosis

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ENDOSCOPIC ULTRASOUND
卷 11, 期 6, 页码 442-457

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WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/EUS-D-21-00189

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pancreatitis; ultrasound; intervention; complication

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This review provides an overview of various techniques for the treatment of post-acute complications of acute pancreatitis, with a focus on evaluating evidence to find the optimal approach. In the absence of evidence, the experienced authors offer their personal recommendations.
This review gives an overview of different techniques in the treatment of post-acute complications of acute pancreatitis. The endoscopic treatment of those complications is currently standard of care. EUS opened up the broad implementation of internal drainage methods to make them safe and effective. Due to different endoscopic approaches worldwide, controversies have arisen that are pointed out in this paper. The main focus was placed on weighing up evidence to find the optimal approach. However, if no evidence can be provided, the authors, experienced in the field, give their personal advice.

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