Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 21, 2016; 22(7): 2256-2270
Published online Feb 21, 2016. doi: 10.3748/wjg.v22.i7.2256
Published online Feb 21, 2016. doi: 10.3748/wjg.v22.i7.2256
Management of pancreatic fluid collections: A comprehensive review of the literature
Amy Tyberg, Kunal Karia, Moamen Gabr, Amit Desai, Rushabh Doshi, Monica Gaidhane, Reem Z Sharaiha, Michel Kahaleh, Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY 10021, United States
Author contributions: Desai A, Karia K, Tyberg A, Gabr M and Doshi R contributed to acquisition of data, drafting of the manuscript, critical revision of the manuscript for important intellectual content; Sharaiha RZ and Gaidhane M contributed to acquisition of data, interpretation of data, critical revision of the manuscript for important intellectual content, study coordination; Kahaleh M contributed to study concept and design, acquisition of data, critical revision of the manuscript for important intellectual content, study supervision.
Conflict-of-interest statement: The authors have no conflict of interest to report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Michel Kahaleh, MD, FASGE, Chief, Professor, Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY 10021, United States. mkahaleh@gmail.com
Telephone: +1-646-9624000 Fax: +1-646-9620110
Received: August 19, 2015
Peer-review started: August 20, 2015
First decision: November 5, 2015
Revised: December 14, 2015
Accepted: December 30, 2015
Article in press: December 30, 2015
Published online: February 21, 2016
Peer-review started: August 20, 2015
First decision: November 5, 2015
Revised: December 14, 2015
Accepted: December 30, 2015
Article in press: December 30, 2015
Published online: February 21, 2016
Core Tip
Core tip: Pancreatic fluid collections are a frequent complication of pancreatitis. Management includes correctly classifying these collections, initiating early enteral feeding, and draining symptomatic collections. Endoscopic ultrasound with stent placement is the technique of choice. Both metal and plastic stents are efficacious, though metal stents may offer an advantage. When necrosis is present within the collection, direct endoscopic necrosectomy may be required in addition to drainage. Lumen apposing metal stents allow for direct endoscopic necrosectomy through the stent and are preferred in these patients. When a pancreatic duct leak is suspected, endoscopic investigation and stenting is mandated.