SAGES issues conditional recommendations for managing walled-off pancreatic necrosis, favoring endoscopic and image-guided approaches over open surgery.

SAGES guideline: Conditional recommendations favour endoscopic over image-guided intervention and image-guided over open surgery for walled-off pancreatic necrosis, based on very low certainty evidence.

• The panel also gave conditional recommendations for minimally invasive surgery over endoscopic intervention, and for either a pure endoscopic or step-up approach, all with very low certainty evidence.
• Multidisciplinary panel included surgeons, gastroenterologists, and interventional radiologists from SAGES and AHPBA.
• Evidence gaps were identified to guide future research.

Evidence grade: Conditional recommendations, very low certainty of evidence (GRADE)

Automated summary

RadPigeon summaries are original and for information only. They are not clinical advice.