Bronchial fistula and esophageal stricture following endoscopic trans-gastric drainage for a mediastinal pancreatic pseudocyst

Aritake, Tsukasa; Higaki, Eiji; T, Abe; Hara, Kazuo; Suenaga, Yasuhito; Kunitomo, Aina; Oki, Satoshi; Nagao, Takuya; Hosoi, Takahiro; Ito, Seiji; Kono, Koji; Shimizu, Yasuhiro

doi:10.1007/s12328-021-01361-2

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…Two case reports, including one from our institution, have described a transgastric approach to the mediastinum. 37,45 High technical and clinical success rates were reported in all cases, although Piraka et al 43 reported pneumothorax and mediastinitis in one patient who underwent drainage alone. In addition, pneumoderma, mediastinal emphysema, and bilateral pneumothorax developed in one of our patients who underwent transesophageal EUS-guided rendezvous.…”

Section: Eus-guided Mediastinal Drainagementioning

confidence: 95%

“…Recent reports suggest that LAMS placement is advantageous in terms of preventing leaks and discomfort. [33][34][35][36][37] Of four patients treated with LAMS in the study by Poincloux et al, 34 one developed recurrence and one with diverticular abscess had a perforation. EUS-guided pelvic drainage offers a viable alternative that can minimize the need for surgical intervention.…”

Section: Eus-guided Pelvic Drainagementioning

confidence: 99%

“…In all other case reports, treatment was by EUS-guided drainage only. Use of a pigtail plastic stent has been described in four reports, 37,41,43,45 and use of a nasobiliary drainage tube (NDT) in two. 44,47 Shibuya et al 47 reported several advantages of external drainage with EUS-guided mediastinal drainage.…”

Section: Eus-guided Mediastinal Drainagementioning

confidence: 99%

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Endoscopic ultrasound-guided drainage for an abscess cavity

Okuno

Hara

Mizuno

et al. 2022

Int J Gastrointest Interv

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Endoscopic ultrasound (EUS)-guided interventions, including EUS-guided biliary drainage and EUS-guided cystic drainage, are now well developed and in widespread use. Intraperitoneal abscess requires drainage because mortality associated with an undrained abscess is high. Percutaneous or surgical drainage has traditionally been performed, but there have been numerous reports of EUS-guided drainage for intraperitoneal abscesses in recent years. EUS-guided abscess drainage has the advantage of being less invasive and enabling direct access to the cavity via the trans-luminal route as well as clear visualization of interposed vessels using color Doppler ultrasonography. It is necessary to consider the advantages and disadvantages when selecting a drainage method. This article reviews the current status of EUS-guided abscess drainage at three sites: the liver, pelvis, and mediastinum.

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Section: Eus-guided Mediastinal Drainagementioning

confidence: 95%

Section: Eus-guided Pelvic Drainagementioning

confidence: 99%

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Endoscopic ultrasound-guided drainage for an abscess cavity

Okuno

Hara

Mizuno

et al. 2022

Int J Gastrointest Interv

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“…Table 8 shows abdominal lesions with mediastinal extension treated using endoscopic approach [20,21,24,[52][53][54][55][56][57][58][59][60][61][62][63][64][65][66]. The main etiology of the lesions was pancreatic pseudocyst, which, as noted above, constitutes a minor but feasible extension.…”

Section: Eus-guided Transmural Drainagementioning

confidence: 99%

The Role of Endoscopic Ultrasound in the Interventional Management of Mediastinal Collections: A Narrative Review

Velasquez-Rodriguez¹,

Maisterra²,

Ramos³

et al. 2022

Cureus

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The numerous causes underlying mediastinal lesions require different diagnostic and therapeutic approaches, including conservative, minimally invasive, and surgical interventions. Solid lesions of a malignant nature, mostly located in the anterior mediastinum, are properly treated with surgical resection either with or without adjuvant schemes. In contrast, a surveillance program is usually recommended with solid benign tumors, depending on their size and related symptomatology. In the management of mediastinal collections, when a drainage intervention is required (suspicion of infection and symptomatology), a minimally invasive nonsurgical procedure or thoracic surgery is considered. The minimally invasive nonsurgical procedures that can be available are percutaneous radiology-guided imaging (abdominal ultrasound (US) or computed tomography (CT) scan), complete single-aspiration guided by endoscopic ultrasound (EUS) or endobronchial ultrasound (EBUS), and transmural drainage guided by EUS. Surgical debridement is feasible to treat collections, but as this entails considerable risk of postoperative complications, it is chosen only when other minimally invasive therapies are not possible. The published literature related to the interventional endoscopic approach to mediastinal lesions is scarce. Nevertheless, reports in this field reveal that interventional EUS may have a role in both the diagnosis of and therapeutic approach to mediastinal lesions, mainly in the management of mediastinal collections.

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Bronchial fistula and esophageal stricture following endoscopic trans-gastric drainage for a mediastinal pancreatic pseudocyst

Cited by 2 publications

References 8 publications

Endoscopic ultrasound-guided drainage for an abscess cavity

Endoscopic ultrasound-guided drainage for an abscess cavity

The Role of Endoscopic Ultrasound in the Interventional Management of Mediastinal Collections: A Narrative Review

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