GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
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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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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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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 |
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