ASGE Therapeutic EUS for Advanced Endosonographers (Live and Virtual) | September 2022-Pancreatic Fluid Collections: EUS Guided Drainage or Not

Video Transcription

Video Summary

The video discusses the management of pancreatic fluid collections in patients with pancreatitis. The speaker begins by explaining the terminology of interstitial and necrotizing pancreatitis, and the development of acute peripancreatic fluid collections in both conditions. These collections can mature into pseudocysts in interstitial pancreatitis and walled-off necrotic cavities in necrotizing pancreatitis. The speaker emphasizes the importance of determining if the patient is symptomatic and if the collection is mature before intervention is required. The video outlines various approaches for drainage, including endoscopy, radiology, or surgery, with a focus on the endoscopic approach using double pigtail stents or lumen-opposing metal stents. The speaker discusses the factors that may affect the success of the endoscopic approach, such as the size of the collection and the presence of solid debris. They also mention the option of debridement and the use of nasocystic irrigation. The video concludes with a discussion on disconnected pancreatic duct syndrome and the importance of repeat imaging and follow-up care.

Asset Subtitle

Linda S. Lee, MD, FASGE

Keywords

pancreatic fluid collections

endoscopic approach

pancreatitis

drainage

symptomatic

follow-up care