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

Video Transcription

Video Summary

In this video, the speaker discusses the management of pancreatic fluid collections. The speaker begins by explaining the terminology and progression of fluid collections in interstitial and necrotizing pancreatitis. They then discuss the decision-making process for intervention based on symptoms and the maturity of the collection. The speaker emphasizes the use of endoscopic drainage with double pigtail stents or lumen-opposing metal stents (LAMS) as the method of choice for drainage of mature collections. They also discuss the potential need for necrosectomy in cases with large collections or solid debris. The speaker compares the outcomes of endoscopic drainage to surgical approaches and highlights the advantages of endoscopy, such as fewer complications and shorter hospital stays. They also discuss the management of disconnected pancreatic duct syndrome and partial pancreatic disruptions. The speaker concludes by emphasizing the need for repeat imaging to assess the status of the collection and appropriate follow-up care. The video provides valuable insights into the management of pancreatic fluid collections using endoscopic techniques.

Asset Subtitle

Linda S. Lee, MD, FASGE

Keywords

pancreatic fluid collections

endoscopic drainage

necrosectomy

surgical approaches

complications

follow-up care