Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
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초록
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 ofendoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of GastrointestinalEndoscopy (KSGE) appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelinesdevelopment 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 weresystematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discussesendoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations,optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metalstents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed byexternal experts and suggests best practices recommended based on the evidence available at the time of preparation. This will berevised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.
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 ofendoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of GastrointestinalEndoscopy (KSGE) appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelinesdevelopment 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 weresystematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discussesendoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations,optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metalstents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed byexternal experts and suggests best practices recommended based on the evidence available at the time of preparation. This will berevised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.
참고문헌 (87)
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