{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T04:14:58Z","timestamp":1771906498339,"version":"3.50.1"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>\n            Background\u2002A validated classification of endoscopic ultrasound (EUS) morphological characteristics and consequent therapeutic intervention(s) in pancreatic and peripancreatic fluid collections (PFCs) is lacking. We performed an interobserver agreement study among expert endosonographers assessing EUS-related PFC features and the therapeutic approaches used.<\/jats:p><jats:p>\n            Methods\u200250 EUS videos of PFCs were independently reviewed by 12 experts and evaluated for PFC type, percentage solid component, presence of infection, recognition of and communication with the main pancreatic duct (MPD), stent choice for drainage, and direct endoscopic necrosectomy (DEN) performance and timing. The Gwet\u2019s AC1 coefficient was used to assess interobserver agreement.<\/jats:p><jats:p>\n            Results\u2002A moderate agreement was found for lesion type (AC1, 0.59), presence of infection (AC1, 0.41), and need for DEN (AC1, 0.50), while fair or poor agreements were stated for percentage solid component (AC1, 0.15) and MPD recognition (AC1, 0.31). Substantial agreement was rated for ability to assess PFC\u2013MPD communication (AC1, 0.69), decision between placing a plastic versus lumen-apposing metal stent (AC1, 0.62), and timing of DEN (AC1, 0.75).<\/jats:p><jats:p>\n            Conclusions\u2002Interobserver agreement between expert endosonographers regarding morphological features of PFCs appeared suboptimal, while decisions on therapeutic approaches seemed more homogeneous. Studies to achieve standardization of the diagnostic endosonographic criteria and therapeutic approaches to PFCs are warranted.<\/jats:p>","DOI":"10.1055\/a-1640-4365","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T23:09:31Z","timestamp":1631142571000},"page":"555-562","source":"Crossref","is-referenced-by-count":7,"title":["The endoscopic ultrasound features of pancreatic fluid collections and their impact on therapeutic decisions: an interobserver agreement study"],"prefix":"10.1055","volume":"54","author":[{"given":"Carlo","family":"Fabbri","sequence":"additional","affiliation":[{"name":"Unit of Gastroenterology and Digestive Endoscopy, Morgagni-Pierantoni Hospital of Forl\u00ec and Bufalini Hospital of Cesena, AUSL Romagna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd H.","family":"Baron","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2211-6322","authenticated-orcid":false,"given":"Giulia","family":"Gibiino","sequence":"additional","affiliation":[{"name":"Unit of Gastroenterology and Digestive Endoscopy, Morgagni-Pierantoni Hospital of Forl\u00ec and Bufalini Hospital of Cesena, AUSL Romagna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo Giorgio","family":"Arcidiacono","sequence":"additional","affiliation":[{"name":"Pancreato-biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1148-9684","authenticated-orcid":false,"given":"Cecilia","family":"Binda","sequence":"additional","affiliation":[{"name":"Unit of Gastroenterology and Digestive Endoscopy, Morgagni-Pierantoni Hospital of Forl\u00ec and Bufalini Hospital of Cesena, AUSL Romagna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Anderloni","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital, Rozzano, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianenrico","family":"Rizzatti","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy"},{"name":"CERTT, Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0744-220X","authenticated-orcid":false,"given":"Manuel","family":"P\u00e9rez-Miranda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hospital Universitario Rio Hortega, Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7724-7402","authenticated-orcid":false,"given":"Andrea","family":"Lisotti","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Hospital of Imola, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loredana","family":"Correale","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8857-3556","authenticated-orcid":false,"given":"Joan B.","family":"Gornals","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Digestive Diseases Department, Hospital Universitari de Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL), University of Barcelona, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8791-3395","authenticated-orcid":false,"given":"Ilaria","family":"Tarantino","sequence":"additional","affiliation":[{"name":"Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Chiara","family":"Petrone","sequence":"additional","affiliation":[{"name":"Pancreato-biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1870-5952","authenticated-orcid":false,"given":"Paolo","family":"Cecinato","sequence":"additional","affiliation":[{"name":"Gastroenterology and Digestive Endoscopy Unit, Arcispedale Santa Maria Nuova di Reggio Emilia, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4397-9314","authenticated-orcid":false,"given":"Pietro","family":"Fusaroli","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Hospital of Imola, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Larghi","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. 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A systematic review and meta-analysis","volume":"63","author":"T Hammad","year":"2018","journal-title":"Dig Dis Sci"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1007\/s00464-018-6416-5","article-title":"A systematic review and meta-analysis of metal versus plastic stents for drainage of pancreatic fluid collections: metal stents are advantageous","volume":"33","author":"R Saunders","year":"2019","journal-title":"Surg Endosc"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1055\/a-0588-5365","article-title":"Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines","volume":"50","author":"M Arvanitakis","year":"2018","journal-title":"Endoscopy"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1053\/j.gastro.2019.07.064","article-title":"American Gastroenterological Association Clinical Practice Update: Management of pancreatic necrosis","volume":"158","author":"T H Baron","year":"2020","journal-title":"Gastroenterology"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"172","DOI":"10.4103\/eus.eus_108_17","article-title":"Direct endoscopic necrosectomy at the time of transmural stent placement results in earlier resolution of complex walled-off pancreatic necrosis: Results from a large multicenter United States trial","volume":"8","author":"L Yan","year":"2019","journal-title":"Endosc Ultrasound"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1640-4365.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T09:55:52Z","timestamp":1660125352000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1640-4365"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,8]]},"references-count":36,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,5,25]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1640-4365","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,9,8]]},"published":{"date-parts":[[2021,9,8]]}}}