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Endoscopic ultrasound-guided drainage for local complications related to pancreatitis

Chon HK, Kim SH

Despite many advances in the treatment of acute pancreatitis, the mortality rate in severe cases is as high as 30%. Therefore, it is very important to treat the local complications...
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Intrahepatic Bile Duct Dilatation Caused by Pancreatic Pseudocyst: A Case Report

Kim D, Park M

Pancreatic pseudocyst can fistulize to adjacent organs such as stomach, duodenum, colon, and esophagus. Fistula formation with bile duct is rare. Reported cases of biliary involvement of pancreatic pseudocyst include...
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Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade

Kothiya PK, Gupta V, Sarawagi R, Jayashankar E, Sharma J, Wani H, Balaji K, Roshny J

Abdominal hydatid cyst disease mostly involves the liver. Involvement of the pancreas as an isolated primary organ is rare accounting for < 2% of all systemic echinococcosis cases. It mostly...
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Outcomes of Endoscopic Drainage in Children with Pancreatic Fluid Collections: A Systematic Review and Meta-Analysis

Nabi Z, Talukdar R, Lakhtakia S, Reddy DN

Purpose: Endoscopic drainage is an established treatment modality for adult patients with pancreatic fluid collections (PFCs). Available data regarding the efficacy and safety of endoscopic drainage in pediatric patients are...
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Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Acute Pancreatitis: Treatment of Local Complication and Necrotizing Pancreatitis

Choi YH, Kim TH, Seo HI, Han SY

In severe acute pancreatitis, accompanied by local complications such as acute peripancreatic fluid collection, pancreatic pseudocyst, acute necrotic collection and walled-off necrosis, the mortality rate is as high as 12-25%....
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Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst

Park C, Kim TH, Chon HK

Spontaneous rupture of a hemorrhagic pancreatic pseudocyst may be life-threatening. Endoscopic ultrasound (EUS)-guided drainage has been reported to be a valuable treatment option for pancreatic pseudocysts. However, its usefulness in...
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Angiographic diagnosis and treatment of a splenic artery pseudoaneurysm following endoscopic cystogastrostomy for a pancreatic pseudocyst

Kim JE, Shin JH

Summary of the Event: A 57-year-old male with chronic pancreatitis presented with an enlarging pseudocyst which was treated with endoscopic ultrasound (EUS)-guided cystogastrostomy. Three days later, he presented with massive...
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Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting

Garg R, Chaar A, Szpunar S, Mohan BP, Barawi M

Background/Aims: Endoscopic ultrasound-guided transmural drainage and necrosectomy employing lumen-apposing metal stent (LAMS) are used for treating pancreatic fluid collections (PFCs) with excellent results from academic centers. Herein, we report the...
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Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm

Xu MM, Andalib I, Novikov A, Dawod E, Gabr M, Gaidhane M, Tyberg A, Kahaleh M

Background/Aims: Endoscopic ultrasonography (EUS)-guided drainage is the preferred approach for infected or symptomatic pancreatic fluid collections (PFCs). Here, we developed an algorithm for the management of pancreatitis complicated by PFCs and...
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The efficacy of 18F-FDG PET/CT in the preoperative evaluation of pancreatic lesions

Akcam AT, Teke Z, Saritas AG, Ulku A, Guney IB, Rencuzogullari A

Purpose: Since the treatment strategy for benign and malignant pancreatic lesions differ, we aimed to evaluate the clinical value of PET/CT in the diagnosis and management of pancreatic lesions. Methods: Ninety...
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Abdominal pain without bruising or sign of trauma: pancreatic injuries in children is difficult to predict

Bak SY, Lee HJ, Baek HS, Ahn SM, Cho GC

Pancreatic injuries due to trauma in children are rare. An early diagnosis is difficult as the signs and symptoms are insidious, but delays in diagnosis can lead to significant complications....
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Sorafenib-induced Pancreatic Pseudocyst in a Patient with Advanced Hepatocellular Carcinoma: a Rare Adverse Event

Kim DH, Kim M, Yim HJ, Suh SJ, Jung YK

A 54-year old man diagnosed with advanced hepatocellular carcinoma began treatment with sorafenib. After 3 weeks of treatment, he complained of abdominal pain and nausea. Abdominal sonography showed multiple hepatic...
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The Genomic Landscape and Its Clinical Implications in Hepatocellular Carcinoma

Yim SY, Lee JS

The pathogenesis of hepatocellular carcinoma (HCC) is a complex process. During the last decade, advances in genomic technologies enabled delineation of the genomic landscape of HCC, resulting in the identification...
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Comparison of Clinical Outcomes between Plastic Stent and Novel Lumen-apposing Metal Stent for Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections

Shin HC, Cho CM, Jung MK, Yeo SJ

BACKGROUND/AIMS: Endoscopic ultrasound (EUS)-guided transmural drainage for peripancreatic fluid collections (PFCs) has gained wide acceptance as a nonsurgical intervention. Although a lumen-apposing metal stent (LAMS) was recently introduced, there are...
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Multiple Congenital Pancreatic Cysts in a Neonate

Kwon EM, Shin J, Jeon GW

Congenital pancreatic cysts are rare in newborn babies, and this makes prenatal diagnosis difficult. Diagnosis can be delayed for a few months after birth until the infant presents with an...
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Autoimmune Pancreatitis Featuring a Pseudocyst Requiring Drainage despite Steroid Therapy

Park JC, Im HS, Kang Y, Son HJ, Jung KH, Han J, Kim MH

Autoimmune pancreatitis (AIP) is rarely associated with pancreatic pseudocysts. AIP-associated pseudocysts requiring drainage despite steroid therapy are rather rare. We report a case of AIP with an infected pseudocyst requiring...
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Treatment of pancreatic pseudocyst with omentalization in a dog

Park J, Lee M, Lee H, Jeong SM

The pathogenesis of pancreatic pseudocyst is still not understood. A 5-year-old, 24-kg intact female Shetland Sheepdog was presented with anorexia and vomiting. Diagnostic imaging tests revealed that the left limb...
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Treatment of Pancreatic Fluid Collections

Yoon SB, Chang JH, Lee IS

Pancreatic Fluid Collection (PFC) develops as a result of acute pancreatitis, chronic pancreatitis, trauma, and postoperation. Although percutaneous drainage, surgery and Endoscopic Retrograde Panceatogram are used as conventional treatments in...
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Endoscopic Ultrasound-guided Pancreatic Pseudocyst Drainage without Fluoroscopy

Han SY, Kim GH, Pyeon SI, Lee MW, Song BG, Baek DH, Kim DU, Song GA

BACKGROUND/AIMS: Pancreatic pseudocyst is a common complication of acute and chronic pancreatitis. Endoscopy ultrasound (EUS)-guided drainage includes multiple steps and requires many resources such as a linear echoendoscope and a...
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Mediastinal pancreatic pseudocyst naturally drained by esophageal fistula

Park SH, Park SK, Kim SH, Choi WK, Shim BJ, Park HU, Jung CW, Choi JW

Mediastinal pancreatic pseudocyst is a rare complication of acute or chronic pancreatitis. Pleural effusion and pneumonia are two of the most common thoracic complications from pancreatic disease, while pancreaticopleural fistula...
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