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Imaging of endoscopic cystogastrostomy in pancreatic walled-off necrosis: what the radiologist needs to know

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Abstract

Acute pancreatitis is a frequent entity encountered by radiologists. In 2012, the Atlanta criteria were revised to help radiologists use a common nomenclature when describing acute pancreatitis and its complications. One delayed complication of acute necrotizing pancreatitis in walled-off necrosis, a collection seen at least 4 weeks after an episode of acute pancreatic necrosis and/or acute peripancreatic necrosis. Multiple treatments have been adapted in the setting of walled-off necrosis, including endoscopic cystogastrostomy. The focus of this article is to familiarize the radiologist with the imaging appearance of this procedure as well as, review the outcomes and potential complications of endoscopic cystogastrostomy.

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Correspondence to Anthony Abou Karam.

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Anthony Abou Karam, Arya Bagherpour, Jesus Calleros and Shaked Laks declare that they have no conflict of interest.

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All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was not required (study is retrospective and no PHI were included).

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Abou Karam, A., Bagherpour, A., Calleros, J. et al. Imaging of endoscopic cystogastrostomy in pancreatic walled-off necrosis: what the radiologist needs to know. Abdom Radiol 43, 3043–3053 (2018). https://doi.org/10.1007/s00261-018-1584-2

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