The on-going three day Asian EUS Congress 2017 at Renaissance Convention Centre, Mumbai had international and national experts engage in a discussion on endoscopic ultrasound guided drainage of pancreatic fluid collections.
Pancreatic fluid collections can result from many causes. It can be due to damage to the pancreas or premalignant or malignant conditions.
While there are many types of pancreatic fluid collections, the most common is called a pancreatic pseudocyst.
“The main points discussed in this session were EUS guided drainage for pancreatic fluid collection should be the first management. The other thing that was discussed was issue if usage of stent. There is plastic stent that is good for simple pseudocyst while the Lumen apposing metal stent, the newest one, should be used in a complicated or walled off necrosis drainage,” said Dr Jong H. Moon, Director Digestive Disease Centre, Soon Chin Hyang University School of Medicine Seoul Korea, who moderated the session.
Dr A Chaudhary, who spoke about minimally invasive surgical necrosectomy, said pancreatic fluid collection should be managed as late as possible for the benefit of the patient.
“Interventions for pancreatic necrosis are evolving, control without laparotomy is possible and it needs specialised care,” said Dr Chaudhary.
He said the intervention for pancreatic necrosis depends on condition of the patient.
“It also depends on available skills, location of collection-central/peripheral and presentation of complication,” concluded Dr Chaudhary.