The i-EUS consensus on the management of pancreatic fluid collections – Part 1
Gabriele Capurso, Giacomo Emanuele Maria Rizzo, Chiara Coluccio, Stefano Francesco Crinò, Alessandro Cucchetti, Antonio Facciorusso, Cesare Hassan, Arnaldo Amato, Francesco Auriemma, Helga Bertani, Cecilia Binda, F. Cipolletta, E. Forti, Alessandro Fugazza, Andrea Lisotti, Marcello Maida, Emanuele Sinagra, Monica Sbrancia, Marco Spadaccini, Matteo Tacelli, Giuseppe Vanella, Andrea Anderloni, Carlo Fabbri, Ilaria Tarantino, Giovanni Aragona, Paolo Giorgio Arcidiacono, Marianna Arvanitaki, Roberta Badas, Luca Barresi, Debora Berretti, Paolo Bocus, Lorenzo Camellini, Davide Cintorino, Luigi Cugia, Emanuele Dabizzi, Claudio Giovanni De Angelis, Giovanna Del Vecchio Blanco, Francesco Maria Di Matteo, Roberto Di Mitri, Giorgio Ercolani, Massimo Falconi, Alberto Fantin, Dario Ligresti, Raffaele Macchiarelli, Santi Mangiafico, Benedetto Mangiavillano, Mauro Manno, Luigi Maruzzelli, Marco Marzioni, Vittorio Pedicini, Enrico Piras, Valeria Pollino, Amrita Sethi, Uzma Siddiqui, Thomas Togliani, Mario Traina, Alberto Tringali, Giovanna Venezia, Alessandro Zerbi
Abstract
Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches; however, it has later shifted toward an endoscopy-based approach. With the development of dedicated lumen-apposing metal stents (LAMS), interventional Endoscopic Ultrasound (EUS)-guided procedures have become the standard approach for PFC drainage. However, there is still limited consensus on several aspects of the multidisciplinary management of PFCs. The interventional endoscopy and ultrasound (i-EUS) group is an Italian network of clinicians and scientists with special interest in biliopancreatic interventional endoscopy, especially interventional EUS. This manuscript describes the first part of the results of a consensus conference organized by i-EUS with the aim of providing evidence-based guidance on aspects such as indications for treating PFCs, the timing of intervention, and different technical strategies for managing patients with PFCs.