**2. Management of pancreatic fluid collections**

The options of drainage for PFCs include surgery, percutaneous catheter drainage, and endoscopic transmural drainage (ETD). Open necrosectomy is associated with substantial rates of new onset multiple organ failure as compared to minimally invasive surgical step up approach (see later) [5]. Subsequent studies comparing endoscopic necrosectomy to open as well as minimally invasive surgical debridement concluded the superiority of endoscopic approach [6, 7]. Reduced mortality, less frequent new onset multiple organ failure, and the development of pancreatic fistulas are distinct advantages of endoscopic necrosectomy [8, 9]. In the current era, a step up approach is preferred for its obvious benefits in reducing a proinflammatory response and prevention of new onset organ failure. In the ensuing sections, we would discuss endoscopic approach to PFCs and its advantages over surgical and percutaneous drainages.
