In adult literature, there is growing evidence for endoscopic necrosectomy via EUS (transmural approach through stomach into necrotic cavity) showing good outcomes, but pediatric experience is extremely limited.
clinicalIn adult literature, there is growing evidence for endoscopic necrosectomy via EUS (transmural approach through stomach into necrotic cavity) showing good outcomes, but pediatric experience is extremely limited.↗
Acute Pancreatitis
▶Ep 8 · 41:12
clinicalAdult evidence supports endoscopic necrosectomy via EUS-guided transmural approach with good outcomes; pediatric experience is extremely limited and Cincinnati has not performed this procedure.↗
Tom's statements about Acute Recurrent Pancreatitis1 statement
clinicalAdult evidence supports endoscopic necrosectomy via EUS-guided transmural approach with good outcomes; pediatric experience is extremely limited and Cincinnati has not performed this procedure.↗
Tom's statements about Hirschsprung disease1 statement
clinicalIn adult literature, there is growing evidence for endoscopic necrosectomy via EUS (transmural approach through stomach into necrotic cavity) showing good outcomes, but pediatric experience is extremely limited.↗
clinicalIn adult literature, there is growing evidence for endoscopic necrosectomy via EUS (transmural approach through stomach into necrotic cavity) showing good outcomes, but pediatric experience is extremely limited.↗
Acute Pancreatitis
▶Ep 12 · 41:12
clinicalAdult evidence supports endoscopic necrosectomy via EUS-guided transmural approach with good outcomes; pediatric experience is extremely limited and Cincinnati has not performed this procedure.↗
Summaries Tom gave as host
· 14 summaries
Recaps of other experts' statements, not Tom's own clinical position.
Summaries Tom gave as host · Acute Pancreatitis7 summaries
host summaryTom Lynn summarizing the discussion: Pancreatic duct leaks can manifest internally as peripancreatic fluid collections, pseudocysts, pancreatic ascites, pleural effusions, or pancreaticoenteric/biliary/bronchial fistulas, and externally as pancreaticocutaneous fistulas.↗
▶Ep 6 · 18:20
host summaryTom Lynn summarizing the discussion: Transpapillary pancreatic stent placement has greater likelihood of success when the defect can be bridged, but certain leaks can still resolve despite inability to bridge the defect.↗
▶Ep 6 · 18:50
host summaryTom Lynn summarizing the discussion: Risks of endoscopic intervention (EUS or ERCP) for pancreatic disease include developing or exacerbating pancreatitis, introducing infection into a sterile fluid collection, and developing pancreatic duct strictures from temporary stent placement.↗
▶Ep 6 · 19:32
host summaryTom Lynn summarizing the discussion: The revised Atlanta Classification (2012) categorizes inflammatory pancreatic fluid collections into four types: acute peripancreatic fluid collections, pancreatic pseudocysts, acute necrotic collections, and walled-off necrosis.↗
▶Ep 6 · 19:32
host summaryTom Lynn summarizing the discussion: Approximately 40% of acute pancreatitis patients will develop some form of fluid collection, but the majority resolve spontaneously, with less than 5% evolving into pseudocysts.↗
▶Ep 6 · 20:00
host summaryTom Lynn summarizing the discussion: Pancreatic pseudocysts are formally defined when they reach a time threshold of 4 weeks or greater, contain high amylase-rich fluid with little to no internal debris, and have a well-defined non-epithelialized wall.↗
▶Ep 6 · 23:20
host summaryTom Lynn summarizing the discussion: Endoscopic ultrasound has limited use in pediatrics due to limited pediatric indications, insufficient awareness of its capabilities, and a very limited number of pediatric gastroenterologists with appropriate EUS training.↗
Summaries Tom gave as host · Chronic Pancreatitis7 summaries
host summaryTom Lynn summarizing the discussion: Pancreatic duct leaks can manifest internally as peripancreatic fluid collections, pseudocysts, pancreatic ascites, pleural effusions, or pancreaticoenteric/biliary/bronchial fistulas, and externally as pancreaticocutaneous fistulas.↗
▶Ep 3 · 18:20
host summaryTom Lynn summarizing the discussion: Transpapillary pancreatic stent placement has greater likelihood of success when the defect can be bridged, but certain leaks can still resolve despite inability to bridge the defect.↗
▶Ep 3 · 18:50
host summaryTom Lynn summarizing the discussion: Risks of endoscopic intervention (EUS or ERCP) for pancreatic disease include developing or exacerbating pancreatitis, introducing infection into a sterile fluid collection, and developing pancreatic duct strictures from temporary stent placement.↗
▶Ep 3 · 19:32
host summaryTom Lynn summarizing the discussion: Approximately 40% of acute pancreatitis patients will develop some form of fluid collection, but the majority resolve spontaneously, with less than 5% evolving into pseudocysts.↗
▶Ep 3 · 19:32
host summaryTom Lynn summarizing the discussion: The revised Atlanta Classification (2012) categorizes inflammatory pancreatic fluid collections into four types: acute peripancreatic fluid collections, pancreatic pseudocysts, acute necrotic collections, and walled-off necrosis.↗
▶Ep 3 · 20:00
host summaryTom Lynn summarizing the discussion: Pancreatic pseudocysts are formally defined when they reach a time threshold of 4 weeks or greater, contain high amylase-rich fluid with little to no internal debris, and have a well-defined non-epithelialized wall.↗
▶Ep 3 · 23:20
host summaryTom Lynn summarizing the discussion: Endoscopic ultrasound has limited use in pediatrics due to limited pediatric indications, insufficient awareness of its capabilities, and a very limited number of pediatric gastroenterologists with appropriate EUS training.↗
