Endoscopic Ultrasound-Guided Abscess Drainage

Prasad, Ganapathy A.; Varadarajulu, Shyam

doi:10.1016/j.giec.2012.04.002

Cited by 21 publications

(16 citation statements)

References 26 publications

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“…Various techniques and devices (i.e. bougie, balloon, or cautery) are used for fistula dilation . A combination of these techniques/devices is often utilized to obtain fistula dilation adequate for stent placement or endoscopic necrosectomy, and no comparative studies have been conducted.…”

Section: Resultsmentioning

confidence: 99%

“…The extent of fistula dilation depends on the size and number of stents or the size of endoscope for necrosectomy. In the transgastric approach, balloon dilation up to 15 mm is considered to be safe (expert opinion) . The recent development of large‐bore self‐expandable metal stents that allow scope insertion can reduce the size of the fistula dilation (i.e.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Asian consensus statements on endoscopic management of walled‐off necrosis. Part 2: Endoscopic management

Isayama

Nakai

Rerknimitr

et al. 2016

J of Gastro and Hepatol

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Walled‐off necrosis (WON) is a new term for encapsulated necrotic tissue after severe acute pancreatitis. Various terminologies such as pseudocyst, necroma, pancreatic abscess, and infected necrosis were previously used in the literature, resulting in confusion. The current and past terminologies must be reconciled to meaningfully interpret past data. Recently, endoscopic necrosectomy was introduced as a treatment option and is now preferred over surgical necrosectomy when the expertise is available. However, high‐quality evidence is still lacking, and there is no standard management strategy for WON. The consensus meeting aimed to clarify the diagnostic criteria for WON and the role of endoscopic interventions in its management. In the Consensus Conference, 27 experts from eight Asian countries took an active role and examined key clinical aspects of WON diagnosis and endoscopic management. Statements were crafted based on literature review and expert opinion, employing the modified Delphi method. All statements were substantiated by the level of evidence and the strength of the recommendation. We created 27 consensus statements for WON diagnosis and management, including details of endoscopic procedures. When there was not enough solid evidence to support the statements, this was clearly acknowledged to facilitate future research. Proposed management strategies were formulated and are illustrated using flow charts. These recommendations, which are based on the best current scientific evidence and expert opinion, will be useful for guiding endoscopic management of WON. Part 2 of this statement focused on the endoscopic management of WON.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Asian consensus statements on endoscopic management of walled‐off necrosis. Part 2: Endoscopic management

Isayama

Nakai

Rerknimitr

et al. 2016

J of Gastro and Hepatol

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“…The technique of EUS‐guided drainage has evolved over the past decade with drainage of extraluminal collections such as pancreatic pseudocysts, necrosis and abscesses . We have previously reported drainage of bilomas and gallbladder fossa fluid collections with success .…”

Section: Discussionmentioning

confidence: 99%

“…The technique of EUS-guided drainage has evolved over the past decade with drainage of extraluminal collections such as pancreatic pseudocysts, necrosis and abscesses. 25,26 We have previously reported drainage of bilomas and gallbladder fossa fluid collections with success. 6,27 Baron and Topazian first reported successful EUS-guided transduodenal gallbladder drainage using double-pigtail PBS in a patient with cholangiocarcinoma and bilateral metal biliary stents.…”

Section: Ndications For the Procedures Included Patientsmentioning

confidence: 99%

Endoscopic ultrasound‐guided endoluminal drainage of the gallbladder

Widmer

Singhal

Gaidhane

et al. 2014

Digestive Endoscopy

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For patients with acute cholecystitis who are not suitable for surgery, endoscopic ultrasound-guided endoluminal drainage of the gallbladder (EUS-GBD) has been developed to overcome the limitations of percutaneous transhepatic gallbladder drainage when endoscopic transpapillary gallbladder drainage is not feasible. In the present review we have summarized the studies describing EUS-GBD. Indications, techniques, accessories, endoprostheses, limitations and complications reported in the different studies are discussed. There were 90 documented cases in the literature. The overall reported technical success rate was 87/90 (96.7%). All patients with technical success were clinically successful. A total of 11/90 (12.2%) patients had complications including pneumoperitoneum, bile peritonitis and stent migration. The advantage of EUS-GBD is its ability to provide gallbladder drainage especially in situations where percutaneous or transpapillary drainage is not feasible or is technically challenging. It also provides the option of internal drainage and the ability to carry out therapeutic maneuvers via cholecystoscopy.

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“…The treatment of an intra-peritoneal abscess includes removal of pus by drainage and cleaning. The treatment of intra-peritoneal abscesses after peptic ulcer perforation usually requires surgical treatment, when percutaneous abscess drainage is unfeasible [1,2]. In recent years there have been an increasing number of reports of the use of endoscopic ultrasonography (EUS)-guided drainage for the treatment of pancreatic pseudocyst.…”

Section: Introductionmentioning

confidence: 99%

EUS-FNA can be an effective procedure for the transesophageal drainage of a patient with intra-peritoneal abscess

Hara

Fukunishi

Sasaki

et al. 2015

Clin J Gastroenterol

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Endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) is considered to be a highly beneficial and safe diagnostic tool. EUS-FNA now has a greater clinical impact because the technique is currently being applied for therapeutic as well as diagnostic purposes. The treatment of intra-peritoneal abscess after peptic ulcer perforation has traditionally been by surgery, especially when percutaneous abscess drainage is unfeasible. We report that less invasive drainage using EUS-FNA was useful in treating a patient with an abscess who had no other option but to select surgical treatment.

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Endoscopic Ultrasound-Guided Abscess Drainage

Cited by 21 publications

References 26 publications

Asian consensus statements on endoscopic management of walled‐off necrosis. Part 2: Endoscopic management

Asian consensus statements on endoscopic management of walled‐off necrosis. Part 2: Endoscopic management

Endoscopic ultrasound‐guided endoluminal drainage of the gallbladder

EUS-FNA can be an effective procedure for the transesophageal drainage of a patient with intra-peritoneal abscess

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