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Controversies in EUS-guided treatment of walled-off necrosis

1 Medical Department II, Helios Klinikum Meiningen, Meiningen, Germany
2 Hepato-Pancreatico-Biliary Unit, Groote Schuur Hospital, Cape Town, South Africa
3 Translational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK
4 Medical Department, Krankenhaus Maerkisch-Oderland, Strausberg; Brandenburg Institute of Clinical Medicine at Medical University Brandenburg, Neuruppin, Germany
5 Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
6 Department of Gastroenterology and Hepatology, Health Research Institute of Santiago de Compostela (IDIS), University Hospital of Santiago de Compostela, Spain
7 Medical Department, Caritas-Krankenhaus, Bad Mergentheim, Germany
8 Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
9 Medical Department I/Gastroenterology, Sana Hospital Lichtenberg, Berlin, Germany
10 Gastroenterology and Internal Medicine Departments, Colentina Clinical Hospital, Carol Davila University of Medicine, Bucharest, Romania
11 Department of Endoscopy Center, Shengjing Hospital of China Medical University, Liaoning Province, China
12 Department Allgemeine Innere Medizin, Kliniken Hirslanden, Beau Site, Salem und Permanence, Bern, Switzerland

Correspondence Address:
Christoph F Dietrich,
Department Allgemeine Innere Medizin, Kliniken Beau Site, Salem und Permanence, Hirslanden, Bern, CH-3036 Bern
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/EUS-D-21-00189

PMID: 35313415

This review gives an overview of different techniques in the treatment of post-acute complications of acute pancreatitis. The endoscopic treatment of those complications is currently standard of care. EUS opened up the broad implementation of internal drainage methods to make them safe and effective. Due to different endoscopic approaches worldwide, controversies have arisen that are pointed out in this paper. The main focus was placed on weighing up evidence to find the optimal approach. However, if no evidence can be provided, the authors, experienced in the field, give their personal advice.

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