Consensus guidelines on the diagnosis and treatment of pancreatic pseudocyst and walled-off necrosis from a Chinese multiple disciplinary team expert panel

IF 4.4 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Endoscopic Ultrasound Pub Date : 2024-08-21 DOI:10.1097/eus.0000000000000080

Huiyun Zhu, Yiqi Du, Kaixuan Wang, Zhaoshen Li, Zhendong Jin

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Abstract

Objective

To prepare a set of practice guidelines to standardize the entire process, from diagnosis to treatment and follow-up, for pancreatic pseudocysts and walled-off necrosis.

Methods

Thirty-six experts in the fields of digestive endoscopy, pancreatic surgery, interventional radiology, and others presented their opinions via discussions in online conferences by referring to the patient, intervention, comparison, and outcomes principles and then reviewed the evidence and statements using the Delphi method to reach a consensus. The consensus of >80% was finally achieved for the items.

Results

The experts discussed and reached a consensus on 29 statements including 10 categories: (1) definition and classification, (2) imaging and endoscopic diagnosis, (3) therapeutic implications, (4) surgical therapy, (5) percutaneous catheter drainage, (6) endoscopic retrograde cholangiopancreatography, (7) EUS-guided drainage, (8) stent selection for EUS-guided drainage, (9) complication related to stents for cyst drainage, and (10) drug treatment and follow-up.

Conclusion

This consensus based on the clinical experience of experts in various fields and international evidence-based medicine further standardizes the multidisciplinary diagnosis and treatment processes for pancreatic pseudocysts and walled-off necrosis.

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中国多学科小组专家组关于胰腺假性囊肿和脱壁坏死诊断和治疗的共识指南

方法消化内镜、胰腺外科、介入放射学等领域的 36 位专家通过在线会议讨论的方式，参照患者、干预、比较和结果等原则发表意见，然后采用德尔菲法对证据和陈述进行审核，最终达成共识。最终各项目达成了 80% 的共识。结果专家们对 29 项声明进行了讨论并达成共识，包括 10 个类别：（1）定义和分类；（2）影像学和内镜诊断；（3）治疗意义；（4）手术治疗；（5）经皮导管引流；（6）内镜逆行胰胆管造影；（7）EUS 引导引流；（8）EUS 引导引流的支架选择；（9）与支架引流囊肿相关的并发症；（10）药物治疗和随访。结论该共识基于各领域专家的临床经验和国际循证医学，进一步规范了胰腺假性囊肿和脱壁坏死的多学科诊断和治疗流程。

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来源期刊

Endoscopic Ultrasound GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.20

自引率

11.10%

发文量

144

期刊介绍： Endoscopic Ultrasound, a publication of Euro-EUS Scientific Committee, Asia-Pacific EUS Task Force and Latin American Chapter of EUS, is a peer-reviewed online journal with Quarterly print on demand compilation of issues published. The journal’s full text is available online at http://www.eusjournal.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal does not charge for submission, processing or publication of manuscripts and even for color reproduction of photographs.