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Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections

Authors
Oh, Chi HyukLee, Jun KyuSong, Tae JunPark, Jin-SeokLee, Jae MinSon, Jun HyukJang, Dong KeeChoi, MiyoungByeon, Jeong-SikLee, In SeokLee, Soo TeikChoi, Ho SoonKim, Ho GakChun, Hoon JaiPark, Chan GukCho, Joo Young
Issue Date
Jul-2021
Publisher
KOREAN SOC GASTROINTESTINAL ENDOSCOPY
Keywords
Complications; Drainage; Endoscopy; Pancreatitis; Pseudocyst
Citation
CLINICAL ENDOSCOPY, v.54, no.4, pp.505 - 521
Indexed
SCOPUS
KCI
Journal Title
CLINICAL ENDOSCOPY
Volume
54
Number
4
Start Page
505
End Page
521
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/54065
DOI
10.5946/ce.2021.185
ISSN
2234-2400
Abstract
Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.
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Chun, Hoon Jai
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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