GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections

Detalhes bibliográficos
Autor(a) principal: Pereira, Flávio
Data de Publicação: 2021
Outros Autores: Caldeira, Ana, Leite, Sílvia, Marques, Susana, Moreira, Teresa, Moutinho-Ribeiro, Pedro, Nunes, Nuno, Bispo, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/2640
Resumo: Pancreatic and peripancreatic collections (PPC) are a known complication of acute pancreatitis. They are categorized into four types of collection: (1) acute peripancreatic fluid collection, (2) pseudocyst, (3) acute necrotic collection and (4) walled-off necrosis. Most PPC resolve spontaneously or are persistent but asymptomatic. Intervention is needed in a minority of patients with infected or symptomatic collection. Endoscopic ultrasound-guided transmural drainage is currently the first-line treatment option for PPC management. It has shown great technical and clinical success, similar to percutaneous or surgical approaches, but with lower morbidity and costs and better quality of life. In this review article, the GRUPUGE presents an updated perspective on the potential role of endoscopic ultrasound-guided drainage of peripancreatic collections, addressing the selection criteria and the technical issues of different techniques and analysing emerging data on their efficacy and safety.
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spelling GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic CollectionsPerspectiva do GRUPUGE: drenagem de coleções peripancreáticas guiada por ecoendoscopiaEndoscopic necrosectomyEndoscopic ultrasound-guided drainagePancreatic pseudocystPeripancreatic collectionsWalled-off pancreatic necrosisPancreatic and peripancreatic collections (PPC) are a known complication of acute pancreatitis. They are categorized into four types of collection: (1) acute peripancreatic fluid collection, (2) pseudocyst, (3) acute necrotic collection and (4) walled-off necrosis. Most PPC resolve spontaneously or are persistent but asymptomatic. Intervention is needed in a minority of patients with infected or symptomatic collection. Endoscopic ultrasound-guided transmural drainage is currently the first-line treatment option for PPC management. It has shown great technical and clinical success, similar to percutaneous or surgical approaches, but with lower morbidity and costs and better quality of life. In this review article, the GRUPUGE presents an updated perspective on the potential role of endoscopic ultrasound-guided drainage of peripancreatic collections, addressing the selection criteria and the technical issues of different techniques and analysing emerging data on their efficacy and safety.As coleções pancreáticas e peripancreáticas constituem uma complicação conhecida de pancreatite aguda. As coleções são classificadas em quatro tipos: (1) coleção líquida peripancreática aguda, (2) pseudoquisto, (3) coleção necrótica aguda e (4) coleção necrótica encapsulada (walled-off necrosis). A maioria das coleções peripancreáticas resolvem espontaneamente ou mantém-se assintomáticas. A drenagem está indicada numa minoria de doentes em que a coleção infecta ou se torna sintomática. A drenagem de coleções peripancreáticas guiada por ecoendoscopia é atualmente considerada a primeira linha de tratamento. Os procedimentos guiados por ecoendoscopia têm mostrado uma elevada taxa de sucesso técnico e clínico, semelhante às abordagens cirúrgica e percutânea, mas está associada a menor morbilidade e custos e a melhor qualidade de vida. Neste artigo de revisão, o GRUPUGE apresenta uma perspetiva atualizada do papel da ecoendoscopia na drenagem de coleções peripancreáticas, abordando critérios de seleção e questões técnicas relativas aos diferentes procedimentos, e analisando os dados disponíveis sobre a sua eficácia e segurança.Karger AGRepositório Científico do Centro Hospitalar Universitário de Santo AntónioPereira, FlávioCaldeira, AnaLeite, SílviaMarques, SusanaMoreira, TeresaMoutinho-Ribeiro, PedroNunes, NunoBispo, Miguel2021-12-07T14:50:45Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2640engPereira F, Caldeira A, Leite S, et al. GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections. GE Port J Gastroenterol. 2020;28(1):39-51. doi:10.1159/0005091932387-195410.1159/000509193info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:01:26Zoai:repositorio.chporto.pt:10400.16/2640Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:50.473989Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
Perspectiva do GRUPUGE: drenagem de coleções peripancreáticas guiada por ecoendoscopia
title GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
spellingShingle GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
Pereira, Flávio
Endoscopic necrosectomy
Endoscopic ultrasound-guided drainage
Pancreatic pseudocyst
Peripancreatic collections
Walled-off pancreatic necrosis
title_short GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
title_full GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
title_fullStr GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
title_full_unstemmed GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
title_sort GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
author Pereira, Flávio
author_facet Pereira, Flávio
Caldeira, Ana
Leite, Sílvia
Marques, Susana
Moreira, Teresa
Moutinho-Ribeiro, Pedro
Nunes, Nuno
Bispo, Miguel
author_role author
author2 Caldeira, Ana
Leite, Sílvia
Marques, Susana
Moreira, Teresa
Moutinho-Ribeiro, Pedro
Nunes, Nuno
Bispo, Miguel
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
dc.contributor.author.fl_str_mv Pereira, Flávio
Caldeira, Ana
Leite, Sílvia
Marques, Susana
Moreira, Teresa
Moutinho-Ribeiro, Pedro
Nunes, Nuno
Bispo, Miguel
dc.subject.por.fl_str_mv Endoscopic necrosectomy
Endoscopic ultrasound-guided drainage
Pancreatic pseudocyst
Peripancreatic collections
Walled-off pancreatic necrosis
topic Endoscopic necrosectomy
Endoscopic ultrasound-guided drainage
Pancreatic pseudocyst
Peripancreatic collections
Walled-off pancreatic necrosis
description Pancreatic and peripancreatic collections (PPC) are a known complication of acute pancreatitis. They are categorized into four types of collection: (1) acute peripancreatic fluid collection, (2) pseudocyst, (3) acute necrotic collection and (4) walled-off necrosis. Most PPC resolve spontaneously or are persistent but asymptomatic. Intervention is needed in a minority of patients with infected or symptomatic collection. Endoscopic ultrasound-guided transmural drainage is currently the first-line treatment option for PPC management. It has shown great technical and clinical success, similar to percutaneous or surgical approaches, but with lower morbidity and costs and better quality of life. In this review article, the GRUPUGE presents an updated perspective on the potential role of endoscopic ultrasound-guided drainage of peripancreatic collections, addressing the selection criteria and the technical issues of different techniques and analysing emerging data on their efficacy and safety.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-07T14:50:45Z
2021
2021-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/2640
url http://hdl.handle.net/10400.16/2640
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Pereira F, Caldeira A, Leite S, et al. GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections. GE Port J Gastroenterol. 2020;28(1):39-51. doi:10.1159/000509193
2387-1954
10.1159/000509193
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Karger AG
publisher.none.fl_str_mv Karger AG
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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