Endoscopic-ultrasound-guided endoscopic transmural drainage of pancreatic pseudocysts and abscesses

Lopes, César Vivian; Pesenti, Christian; Bories, Erwan; Caillol, Fabrice; Giovannini, Marc

doi:10.1080/00365520601065093

Cited by 132 publications

(30 citation statements)

References 16 publications

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“…We demonstrated the treatment success rate in EUS-guided PPC drainage was only 74.5%. This was quite different from previous studies with success ranging from 82% to 100% 345. This may be due to the fact that we have a longer period of follow-up as compared to other published studies.…”

Section: Discussioncontrasting

confidence: 90%

“…This condition could often be managed by conservative treatment in asymptomatic case 9. However, if the patient suffered a relapse, a new stent was usually necessary 3410. In our study, three of the patients (5%) developed symptomatic recurrence of PPC due to stent migration into the gastrointestinal tract.…”

Section: Discussionmentioning

confidence: 65%

“…Another case with complication was clogging of the stent resulting in recurrence of PPC. Stent clogging is a repeatedly reported complication that causes recurrence of the PPCs 4101112. There was no mortality recorded, while the other published studies revealed a variable mortality rate of 0-7% 245101112131415…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic ultrasound-guided drainage of pancreatic pseudocysts: Medium-term assessment of outcomes and complications

Rasmussen

Vilmann

et al. 2013

Endosc Ultrasound

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Objective:Endoscopic ultrasound (EUS)-guided drainage is a widely used treatment modality for pancreatic pseudocysts (PPC). However, data on the clinical outcome and complication rates are conflicting. Our study aims to evaluate the rates of technical success, treatment success and complications of EUS-guided PPC drainage in a medium-term follow-up of 45 weeks.Materials and Methods:A retrospective review was conducted for 55 patients with symptomatic PPC from December 2005 to August 2010 drained by EUS. Medium-term follow-up data were obtained by searching their medical history or by telephonic interview.Results:A total of 61 procedures were performed. The symptoms that indicated drainage were abdominal pain (n = 43), vomiting (n = 7) and jaundice (n = 5). The procedure was technically successful in 57 of the 61 procedures (93%). The immediate complication rate was 5%. At a mean follow-up of 45 weeks, the treatment success was 75%. The medium term complications appeared in 25% of cases, which included three cases each of stent clogging, stent migration, infection and six cases of recurrence. There was no mortality.Conclusion:EUS-guided drainage is an effective treatment for PPC with a successful outcome in most of patients. Most of the complications require minimal invasive surgical treatment or repeated EUS-guided drainage procedures.

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Section: Discussioncontrasting

confidence: 90%

Section: Discussionmentioning

confidence: 65%

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Endoscopic ultrasound-guided drainage of pancreatic pseudocysts: Medium-term assessment of outcomes and complications

Rasmussen

Vilmann

et al. 2013

Endosc Ultrasound

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“…17,18). The procedure was successful in 94% of cases with no mortality in one series of 51 patients 72 .…”

Section: Eus‐guided Drainage Proceduresmentioning

confidence: 91%

Endoscopic ultrasound: an overview of its role in current clinical practice

Chung

Kwan

2009

Australas J Ultrason Med

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“…Die Mortalität war zudem - wie auch die mittlere Zahl der Reinterventionen (im Median drei) - in dieser Studie geringer (2%). Eine Vielzahl von weiteren größeren Fallserien, die den Fortschritt und Erfolg dieses Vorgehens untermauern, wurde in der Zwischenzeit publiziert [18,19,20,21,22,23]. Ein Großteil hiervon wurde in einer systematischen Übersichtsarbeit vereint [24].…”

Section: Endoskopische Verfahrenunclassified

Endoskopie als Baustein der interventionellen Therapie infizierter Pankreasnekrosen

Fellermann¹

2013

Visc Med

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Hintergrund: Die Mortalität von Pankreatitiden wird - abgesehen vom Organversagen - meist nicht durch akute Komplikationen, sondern durch Spätfolgen bestimmt. Gefürchtet sind hierbei die infektbedingten Veränderungen wie z.B. die infizierten Nekrosen. Eine Nekrosektomie gilt dabei nach wie vor als das Verfahren der Wahl, wohl wissend, dass sich die Prognose des Patienten damit verschlechtert. Methode und Ergebnisse: Unter Berücksichtigung der aktuellen Literatur - speziell der neuen Einteilung pankreatischer Flüssigkeitskollektionen - werden die derzeit verfügbaren Techniken und Herangehensweisen gegenübergestellt. Schlussfolgerung: Weniger invasive oder beeinträchtigende Verfahren lösen ein radikales Vorgehen mehr und mehr ab, wobei nicht jeder größere Eingriff verhindert werden kann. Das Zusammenspiel diverser Fachrichtungen ist gefordert und sollte bestmöglich nach einem Step-up-Ansatz erfolgen, indem minimal invasiv begonnen wird und die offene Nekrosektomie eine Ausnahme bleiben sollte. Es gilt nach wie vor der Leitspruch «ubi pus, ibi evacua».

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Endoscopic-ultrasound-guided endoscopic transmural drainage of pancreatic pseudocysts and abscesses

Abstract: Endoscopic transmural drainage is a minimally invasive, effective and safe approach in the management of pancreatic pseudocysts and abscesses.

Cited by 132 publications

References 16 publications

Endoscopic ultrasound-guided drainage of pancreatic pseudocysts: Medium-term assessment of outcomes and complications

Endoscopic ultrasound-guided drainage of pancreatic pseudocysts: Medium-term assessment of outcomes and complications

Endoscopic ultrasound: an overview of its role in current clinical practice

Endoskopie als Baustein der interventionellen Therapie infizierter Pankreasnekrosen

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