췌장주변저류액의 내시경 치료 임상진료지침open accessClinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
- Other Titles
- Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
- Authors
- 오치혁; 송태준; 이준규; 박진석; 이재민; 손준혁; 장동기; 최미영; 변정식; 이인석; 이수택; 최호순; 김호각; 전훈재; 박찬국; 조주영
- Issue Date
- Apr-2022
- Publisher
- 대한췌장담도학회
- Keywords
- Pancreatitis; acute; Complications; Pseudocyst; Endoscopy; Treatment guidelines
- Citation
- 대한췌담도학회지, v.27, no.2, pp.61 - 80
- Indexed
- KCI
- Journal Title
- 대한췌담도학회지
- Volume
- 27
- Number
- 2
- Start Page
- 61
- End Page
- 80
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/138868
- DOI
- 10.15279/kpba.2022.27.2.61
- ISSN
- 1976-3573
- 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 (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 indication 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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