PMID- 30283794
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2307-8960 (Print)
IS  - 2307-8960 (Electronic)
IS  - 2307-8960 (Linking)
VI  - 6
IP  - 10
DP  - 2018 Sep 26
TI  - Algorithm for the multidisciplinary management of hemorrhage in EUS-guided 
      drainage for pancreatic fluid collections.
PG  - 308-321
LID - 10.12998/wjcc.v6.i10.308 [doi]
AB  - Pancreatic fluid collections (PFCs), common sequelae of acute or chronic 
      pancreatitis, are broadly classified as pancreatic pseudocysts or walled-off 
      necrosis according to the revised Atlanta classification. Endoscopic ultrasound 
      (EUS)-guided drainage is often considered a standard first-line therapy 
      preferable to surgical or interventional radiology approaches for patients with 
      symptomatic PFC. EUS-guided drainage is effective and successful; it has a 
      technical success rate of 90%-100% and a clinical success rate of 85%-98%. Recent 
      studies have shown a 5%-30% adverse events (AEs) rate for the procedure. The most 
      common AEs include infection, hemorrhage, perforation and stent migration. 
      Hemorrhage, a severe and sometimes deadly outcome, requires a well-organized and 
      appropriate treatment strategy. However, few studies have reported the integrated 
      management of hemorrhage during EUS-guided drainage of PFC. Establishing a 
      practical therapeutic strategy is an essential and significant step in 
      standardized management. The aim of this review is to describe the current 
      situation of EUS-guided drainage of PFCs, including the etiology and treatment of 
      procedure-related bleeding as well as current problems and future perspectives. 
      We propose a novel and meaningful algorithm for systematically managing 
      hemorrhage events. To our limited knowledge, a multidisciplinary algorithm for 
      managing EUS-guided drainage for PFC-related bleeding has not been previously 
      reported.
FAU - Jiang, Tian-An
AU  - Jiang TA
AD  - Department of Ultrasound, the First Affiliated Hospital, College of Medicine, 
      Zhejiang University, Hangzhou 310003, Zhejiang Province, China. 
      tiananjiang@zju.edu.cn.
FAU - Xie, Li-Ting
AU  - Xie LT
AD  - Department of Ultrasound, the First Affiliated Hospital, College of Medicine, 
      Zhejiang University, Hangzhou 310003, Zhejiang Province, China.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - World J Clin Cases
JT  - World journal of clinical cases
JID - 101618806
PMC - PMC6163138
OTO - NOTNLM
OT  - Adverse events
OT  - Endoscopic ultrasound-guided
OT  - Hemorrhage
OT  - Pancreatic fluid collections
OT  - Treatment algorithm
COIS- Conflict-of-interest statement: No potential conflicts of interest.
EDAT- 2018/10/05 06:00
MHDA- 2018/10/05 06:01
PMCR- 2018/09/26
CRDT- 2018/10/05 06:00
PHST- 2018/05/17 00:00 [received]
PHST- 2018/07/05 00:00 [revised]
PHST- 2018/07/15 00:00 [accepted]
PHST- 2018/10/05 06:00 [entrez]
PHST- 2018/10/05 06:00 [pubmed]
PHST- 2018/10/05 06:01 [medline]
PHST- 2018/09/26 00:00 [pmc-release]
AID - 10.12998/wjcc.v6.i10.308 [doi]
PST - ppublish
SO  - World J Clin Cases. 2018 Sep 26;6(10):308-321. doi: 10.12998/wjcc.v6.i10.308.