Electrocautery<i>vs</i>non-electrocautery dilation catheters in endoscopic ultrasonography-guided pancreatic fluid collection drainage

Kitamura, Katsuya; Yamamiya, Akira; Ishii, Yu; Nomoto, Tomohiro; Honma, Tadashi; Yoshida, Hitoshi

doi:10.4253/wjge.v8.i13.458

Cited by 13 publications

(13 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, one comparative study revealed that EUS-guided transluminal drainage of pancreatic fluid collections in the electrocautery group showed a significantly shorter procedure time than that in the nonelectrocautery group, although there was no significant difference in the technical success rates between both groups. [12] In contrast, several endosonographers who cannot use a coaxial 6Fr electro CD have used a conventional needle knife as a noncoaxial electrocautery dilator. However, it was reported that the use of a needle knife for fistula dilation was statistically significantly associated with postprocedure adverse events compared with graded dilation using non-CDs on EUS-BD.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of ultra-tapered mechanical dilator for EUS-guided hepaticogastrostomy and pancreatic duct drainage compared with electrocautery dilator (with video)

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of ultra-tapered mechanical dilator for EUS-guided hepaticogastrostomy and pancreatic duct drainage compared with electrocautery dilator (with video)

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In contrast, a comparative study of mechanical dilation and coaxial electrocautery dilation in EUS-guided pancreatic fluid collection drainage showed no significant difference in the occurrence of adverse events. 19 Free air was seen as an immediate adverse event in only one case in the non-electrocautery group (1/28). Khashab et al also evaluated the adverse events in patients who underwent EUS-BD (n= 121).…”

Section: Technical Tips For Fistula Dilationmentioning

confidence: 95%

“…As mentioned above, a mechanical dilator is usually used first to dilate the puncture fistula [ 5 , 8 - 10 ]. Although cautery-assisted devices may prove to be more efficacious when pancreatic parenchyma is hardened from fibrosis [ 17 - 19 ], their use is limited and is often positioned as a subsequent method when dilation with mechanical devices fail. This is mainly because of the risk of adverse events associated with cautery devices.…”

Section: Techniquesmentioning

confidence: 99%

“…The electrocautery device used in that study was a non-coaxial needle knife. In contrast, a comparative study of mechanical dilation and coaxial electrocautery dilation in EUS-guided pancreatic fluid collection drainage showed no significant difference in the occurrence of adverse events [ 19 ]. Free air was seen as an immediate adverse event in only one case in the non-electrocautery group (1/28).…”

Section: Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: Techniques and Literature Review of Transmural Stenting

Imoto¹,

Ogura

Higuchi

2020

Clin Endosc

View full text Add to dashboard Cite

Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) is considered as a feasible alternative to surgical or percutaneous drainage in patients with pancreatic ductal (PD) obstruction in whom endoscopic retrograde pancreatography (ERP) has been unsuccessful. Initially described in 2002, 1 EUS-PD can be divided into two distinct techniques, namely, EUS-guided pancreatic transmural stenting (EUS-PTS) and rendezvous (EUS-RV). EUS-PD facilitates access to the main PD (MPD) and deploys a stent transmurally (EUS-PTS). However, when the duodenoscope can be advanced to the level of the ampulla, it is preferable to attempt an EUS-RV. EUS-RV enables ERP by puncturing the MPD transmurally and advancing the guidewire in an antegrade manner up to the duodenum. While many reports have described the EUS-PD procedure, there is no universal consensus on the optimal strategy to perform EUS-PD. This review focuses on the current status, indications, techniques, and outcomes of EUS-PD, especially EUS-PTS. INDICATIONS FOR ENDOSCOPIC ULTRASOUND-GUIDED PANCREATIC DUCT DRAINAGE The possible indications for EUS-PD are shown in Table 1. Generally, difficulty in transpapillary treatment and lack of a proper approach to the major papilla owing to a reconstructed intestinal tract post-operation are considered as major indications for EUS-PD. The most common underlying diseases are chronic pancreatitis and stenotic pancreaticojejunostomy. 2-6 In addition, rare diseases such as MPD rupture after acute pancreatitis or trauma, pancreatic cancer, and cholangiocarcinoma

show abstract

“…This may not always be possible. Therefore, a fistula tract can be created using a cautery device, such as a needle-knife or cystotome (13,14). The tract can then be dilated with a 6 or 8 mm balloon dilator.…”

mentioning

confidence: 99%

Endoscopic management of pancreatic fluid collections

Shahid¹

2019

Transl. Gastroenterol. Hepatol

View full text Add to dashboard Cite

Acute pancreatitis is an acute inflammatory process of the pancreas which presents with severe epigastric abdominal pain along with at least a 3-fold increase in the serum lipase. It is one of the most common gastroenterology discharge diagnoses and costs an estimated $2.6 billion annually (1). Acute pancreatitis is classified as either interstitial edematous pancreatitis or necrotizing pancreatitis. Pancreatic fluid collections (PFCs) are common complications of acute pancreatitis, and are characterized based on the revised Atlanta classification (Table 1). There are four subtypes of PFCs: acute peripancreatic fluid collections, acute necrotic collections, pseudocysts, and walled-off necrosis (WON). These collections are differentiated based on duration (less than or greater than 4 weeks from onset of acute pancreatitis) and presence or absence of necrosis. Interstitial edematous pancreatitis can lead to acute peripancreatic fluid collections (<4 weeks) or pancreatic pseudocysts (>4 weeks). Necrotizing pancreatitis can lead to acute necrotic collections (<4 weeks) and WON (>4 weeks) (2).A 2018 study evaluated the outcomes of acute pancreatic and peripancreatic collections that occur in patients with acute pancreatitis. The study demonstrated that the majority of patients that present with interstitial edematous pancreatitis will not develop pseudocysts. This was in contrast to patients who initially present with necrotizing pancreatitis. Of these patients, 93.4% developed acute necrotic collections. Of those that survived, 70% of the acute necrotic collections developed into walled off necrosis (3).The management of peripancreatic fluid collections has evolved with time. Most acute peripancreatic fluid collections or acute necrotic collections do not require any intervention as they may improve with conservative management. Conservative management usually entails antibiotics and nutritional support. Asymptomatic pseudocysts and WON also do not require any intervention as they may resolve on their own. If a patient is symptomatic from their pancreatic fluid collection, then it may need to be drained. Symptoms may include persistent abdominal pain, fevers, early satiety, nausea and vomiting, inability to tolerate diet, and concern for infection.Draining symptomatic collections can be accomplished surgically, percutaneously, or endoscopically. Many studies have looked at the optimal approach for management.

show abstract

Electrocauteryvsnon-electrocautery dilation catheters in endoscopic ultrasonography-guided pancreatic fluid collection drainage

Abstract: EUS-TD using an electrocautery dilation catheter as a fistula dilation device for the treatment of symptomatic PFCs appears safe and contributes to a shorter procedure time.

Cited by 13 publications

References 24 publications

Safety and efficacy of ultra-tapered mechanical dilator for EUS-guided hepaticogastrostomy and pancreatic duct drainage compared with electrocautery dilator (with video)

Safety and efficacy of ultra-tapered mechanical dilator for EUS-guided hepaticogastrostomy and pancreatic duct drainage compared with electrocautery dilator (with video)

Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: Techniques and Literature Review of Transmural Stenting

Endoscopic management of pancreatic fluid collections

Contact Info

Product

Resources

About