Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?
- Author:
Yousuke NAKAI
1
;
Saburo MATSUBARA
;
Tsuyoshi MUKAI
;
Tsuyoshi HAMADA
;
Takashi SASAKI
;
Hirotoshi ISHIWATARI
;
Susumu HIJIOKA
;
Hideyuki SHIOMI
;
Mamoru TAKENAKA
;
Takuji IWASHITA
;
Atsuhiro MASUDA
;
Tomotaka SAITO
;
Hiroyuki ISAYAMA
;
Ichiro YASUDA
;
Author Information
- Publication Type:Review
- From:Clinical Endoscopy 2024;57(6):735-746
- CountryRepublic of Korea
- Language:English
- Abstract: Postoperative pancreatic fistulas (POPFs) are common adverse events that occur after pancreatic surgery. Endoscopic ultrasonography (EUS)-guided drainage (EUS-D) is a first-line treatment, similar to that for pancreatic fluid collection (PFCs) after acute pancreatitis. However, some POPFs do not develop fluid collections depending on the presence or location of the surgical drain, whereas others develop fluid collections, such as postoperative fluid collections (POPFCs). Although POPFCs are similar to PFCs, the strategy and modality for POPF management need to be modified according to the presence of fluid collections, surgical drains, and surgical type. As discussed for PFCs, the indications, timing, and selection of interventions or stents for EUS-D have not been fully elucidated for POPFs. In this review, we discuss the management of POPFs and POPFCs in comparison with PFCs due to acute pancreatitis and summarize the topics that should be addressed in future studies.
