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EUS-Guided Drainage of Fluid Collections

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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Abstract

Peripancreatic fluid collections occur in a wide variety of pathophysiological and clinical circumstances. Acute pancreatitis is often complicated by (peri)-pancreatic fluid collections. According to the revised Atlanta classification from 2012, we differ between acute interstitial edematous and acute necrotizing pancreatitis. Acute peripancreatic fluid collections and (peri)-pancreatic pseudocysts (PPC) occur as local complications of acute interstitial edematous pancreatitis, while acute necrotizing pancreatitis can lead to acute necrotic collection and walled-off pancreatic necrosis (WOPN). Maturation of both entities, PPC and WOPN, usually requires at least 4 weeks after the onset of acute pancreatitis.

This chapter will review the therapeutic EUS-guided endoscopic and transcutaneous techniques applied in the management of pancreatic and peripancreatic fluid collections.

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Author information

Authors and Affiliations

  1. Department of General Internal Medicine (DAIM), Kliniken Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland

    Christoph Frank Dietrich

  2. Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK

    Barbara Braden

  3. Krankenhaus Märkisch-Oderland, Department of Internal Medicine, Strausberg, Germany

    Christian Jenssen

  4. Brandenburg Institute for Clinical Ultrasound at Medical University Brandenburg, Neurppin, Germany

    Christian Jenssen

Authors
  1. Christoph Frank Dietrich
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  2. Barbara Braden
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  3. Christian Jenssen
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Corresponding author

Correspondence to Christoph Frank Dietrich .

Editor information

Editors and Affiliations

  1. Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, MILANO, Milano, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Div. of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA

    Michael B. Wallace

Section Editor information

  1. Gastrointestinal Endoscopy Unit, Vita‐Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

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Dietrich, C.F., Braden, B., Jenssen, C. (2020). EUS-Guided Drainage of Fluid Collections. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29964-4_95-1

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  • DOI: https://doi.org/10.1007/978-3-030-29964-4_95-1

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  • Print ISBN: 978-3-030-29964-4

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