Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2015; 21(41): 11842-11853
Published online Nov 7, 2015. doi: 10.3748/wjg.v21.i41.11842
Endosonography guided management of pancreatic fluid collections
Andreas S Vilmann, John Menachery, Shou-Jiang Tang, Indu Srinivasan, Peter Vilmann
Andreas S Vilmann, Peter Vilmann, Department of Surgical Gastroenterology, Copenhagen University Hospital Herlev, 2730 Herlev, Denmark
John Menachery, Department of Gastroenterology, Rajagiri Hospital Aluva, Kerala 683112, India
Shou-Jiang Tang, Indu Srinivasan, Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, United States
Author contributions: All authors were involved in the design and conduct of this work; Menachery J and Tang SJ performed the research; Vilmann AS and Menachery J drafted the article; all authors contributed equally to revising the manuscript and approving the final version.
Conflict-of-interest statement: Vilmann AS, Menarchy J, Srinivasan I and Tang SJ have no potential conflicts of interest. Vilmann P reported a conflict as a consultant for MediGlobe, GmbH, Grassau, Germany.
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:
Correspondence to: Andreas S Vilmann, MD, Department of Surgical Gastroenterology, Copenhagen University Hospital Herlev, Herlev Ringvej 75, 2730 Herlev, Denmark.
Telephone: +45-51-365185
Received: April 28, 2015
Peer-review started: May 6, 2015
First decision: June 2, 2015
Revised: June 24, 2015
Accepted: September 2, 2015
Article in press: September 2, 2015
Published online: November 7, 2015
Core Tip

Core tip: The revised Atlanta classification of acute pancreatitis was approved by international consensus, and is based on actual local and systemic determinants of disease severity. Local complications of pancreatitis can include acute peri-pancreatic fluid collection, acute necrotic collection, pseudocyst formation, and walled-off necrosis. Interventional endoscopic ultrasound (EUS) has been increasingly utilized in managing pancreatitis. This review describes the utility, efficacy, and risks associated with using therapeutic EUS and involved EUS devices to manage acute pancreatitis. The authors propose an algorithm for use in managing pancreatic fluid collections based on their size, location, associated symptoms, internal echogenic patterns, and content.