This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text
This document was reviewed and approved by the Governing Board of the American Society for Gastrointestinal Endoscopy. This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. In preparing this guideline, a search of the medical literature from January 1990 to February 2015 was performed by using PubMed. Additional references were obtained from the bibliographies of the identified articles and from recommendations of expert consultants. When limited or no data existed from well-designed prospective trials, emphasis was given to results from large series and reports from recognized experts. Guidelines for appropriate use of endoscopy are based on a critical review of the available data and expert consensus at the time the guidelines were drafted. Further controlled clinical studies may be needed to clarify aspects of this guideline. This guideline may be revised as necessary to account for changes in technology, new data, or other aspects of clinical practice. The recommendations were based on reviewed studies and were graded on the strength of the supporting evidence (Table 1). 1 This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as establishing a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions in any particular case involve a complex analysis of the patient's condition and available courses of action. Therefore, clinical considerations may lead an endoscopist to take a course of action that varies from these guidelines. This guideline supplements and replaces our previous document on the role of endoscopy in the diagnosis and management of cystic lesions and inflammatory fluid collections of the pancreas. 2 Inflammatory pancreatic fluid collections (PFCs) arise as an adverse event of acute and chronic pancreatitis, pancreatic trauma, and pancreatic surgery. Due to similarities in their radiographic appearance, pancreatic cystic neoplasms frequently are misclassified as inflammatory PFCs. 3-5 Although inflammatory PFCs were initially treated via surgical and percutaneous techniques, endoscopy is increasingly used to characterize and treat these fluid collections. This guideline will discuss the role of GI endoscopy in the evaluation, diagnosis, and treatment of inflammatory PFCs.
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