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World J Gastrointest Endosc. Apr 16, 2015; 7(4): 381-388
Published online Apr 16, 2015. doi: 10.4253/wjge.v7.i4.381
Advances in the endoscopic management of pancreatic collections
David Ruiz-Clavijo, Belen González de la Higuera, Juan J Vila
David Ruiz-Clavijo, Belen González de la Higuera, Juan J Vila, Biliary and Pancreatic diseases Unit, Gastroenterology Department, Complejo Hospitalario de Navarra, 31008 Pamplona, Spain
Author contributions: Ruiz-Clavijo D, González de la Higuera B and Vila JJ contributed to this paper.
Conflict-of-interest: The authors report no conflicts of interest regarding the content of this article.
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: Dr. David Ruiz-Clavijo, Biliary and Pancreatic diseases Unit, Gastroenterology Department, Complejo Hospitalario de Navarra, Irunlarrea 3, 31008 Pamplona, Spain. davidruizcla@gmail.com
Telephone: +34-84-8428613
Received: October 29, 2014
Peer-review started: November 2, 2014
First decision: December 12, 2014
Revised: December 30, 2014
Accepted: January 15, 2015
Article in press: January 19, 2015
Published online: April 16, 2015
Core Tip

Core tip: The interventional endoscopic ultrasonography (EUS) development has become in recent years as the first therapeutic alternative for the management of pancreatic collections. The great advantage of EUS is the possibility to in see in real-time image with ultrasound guidance all the material previously introduced into the working channel. The new classification of Atlanta 2012 defines two different evolved pancreatic collections (≥ 4 wk) such as pseudocysts and necrotic encapsulated collections. If both types of collections are symptomatic, they would be subsidiaries of treatment. Given their morphological differences, the technique is similar but the stents used and the results generated differ.