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- W4224108981 abstract "We thank Drs Rana, Bush, and Gupta for their interest in our paper1Chandrasekhara V. et al.Clin Gastroenterol Hepatol. 2021; 19: 2192-2198Abstract Full Text Full Text PDF PubMed Scopus (20) Google Scholar and providing their complementary information confirming the results of our study. Collectively, our information suggests the need for step-up therapy, including direct endoscopic necrosectomy, can be predicted at baseline before initial endoscopic drainage based on morphologic characteristics of the pancreatic fluid collection.2Rana S.S. et al.Endosc Ultrasound. 2014; 3: 118-122Crossref PubMed Scopus (61) Google Scholar The increasing data and worldwide experience indicates that a wait-and-see strategy after endoscopic drainage of a pancreatic fluid collection is probably not appropriate for individuals with collections that measure ≥10 cm in size, extend into the paracolic gutter, or contain ≥30% solid necrosis. This calls for a classification system that incorporates these predictors for better stratification of pancreatic fluid collections for intervention planning and conducting comparative effectiveness studies. Predicting Need for Aggressive Endoscopic Therapy After Endoscopic Ultrasound–Guided Drainage of Pancreatic Fluid Collections With Lumen Apposing Metal StentsClinical Gastroenterology and HepatologyVol. 20Issue 5PreviewWe read with interest the study by Chandrasekhara et al1 that attempted to identify the factors associated with pancreatic fluid collections (PFCs) that could predict the need of step-up therapy after endoscopic ultrasound (EUS)-guided drainage with lumen apposing metal stents. We congratulate the authors for conducting this elegant study that has demonstrated that PFCs that are >10 cm in size, have paracolic extension, or contain >30% solid necrosis are more likely to require step-up therapy including direct endoscopic necrosectomy (DEN). Full-Text PDF" @default.
- W4224108981 created "2022-04-19" @default.
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- W4224108981 date "2022-05-01" @default.
- W4224108981 modified "2023-09-27" @default.
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- W4224108981 doi "https://doi.org/10.1016/j.cgh.2021.06.007" @default.
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