Endosonographisch geführte transgastrale Drainage von Pankreaspseudozysten

Pfaffenbach, B; Langer, M.; Stabenow-Lohbauer, U.; Lux, G.

doi:10.1055/s-2007-1024199

Cited by 22 publications

(7 citation statements)

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“…Several studies have reported morbidity and mortality in the range of 0% to 4%, but common characteristic of all the above is the small number of the patients included, ranging from 11 to 36. 15,[19][20][21] Varadarajulu and colleagues in 2008 performed a randomized trial to compare surgical versus endoscopic cyst-gastrostomy. In this trial, the number of patients in the endoscopic arm was 20 and the morbidity and mortality was reported as 0%.…”

Section: Discussionmentioning

confidence: 99%

Review of Complications Associated With Endoscopic Pancreatic Cyst-Gastrostomy

Kokosis¹,

Barbas

et al. 2015

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Section: Discussionmentioning

confidence: 99%

Review of Complications Associated With Endoscopic Pancreatic Cyst-Gastrostomy

Kokosis¹,

Barbas

et al. 2015

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…These data show clearly that, although endoscopic drainage could be highly effective, the actual success rate was dependent on the type of fluid collection. In the management of PC very high success rates of more than 91% 9,15,25,29,35,37 and even up to 100% 13,26,40 were achieved. In particular, the use of EUS was also clearly superior to non‐EUS guided transmural drainage because EUS allowed non‐bulging PC to be drained.…”

Section: Discussionmentioning

confidence: 99%

“…EUS has been shown to change the management strategy in 37.5% of cases referred for endoscopic drainage 9 . We reviewed the results of larger case series of endoscopic drainage that were published up to December 2008 and summarized the data in Table 2 2,6,10–40 …”

Section: Discussionmentioning

confidence: 99%

Endoscopic drainage and endoscopic necrosectomy in the management of symptomatic pancreatic collections

Teo

Fock

2009

J of Digest Diseases

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OBJECTIVE:To evaluate the role of endoscopic drainage and endoscopic necrosectomy in the management of symptomatic pancreatic fluid collection. METHODS:The clinical data of patients with symptomatic pancreatic fluid collection referred for endoscopic drainage were captured prospectively and analyzed. Pancreatic duct disruption was treated with stenting. Endosonography-guided transmural drainage and endoscopic necrosectomy were performed when indicated. RESULTS:Fifteen consecutive patients (mean age 53.7 years; range 23-82 years) underwent endoscopic management of pancreatic fluid collections (pseudocysts: six; abscesses: six; infected walled-off necrosis: three). Pancreatic duct fistulas were present in 13 patients. The drainage techniques used were: (i) transpapillary drainage; five; (ii) transmural drainage; two (these two patients had no pancreatic duct fistulas); and (iii) combined transpapillary and transmural drainage; eight. An additional transgastric endoscopic necrosectomy was performed in five patients. The endoscopic treatment was successful in all cases. The only complication was asymptomatic pneumo-peritoneum that occurred in one patient. Combined transpapillary and transmural drainage led to the faster resolution of the fluid collection compared to transpapillary drainage (75.6 vs 147 days, P = 0.03). No recurrence occurred over a mean follow up of 486 days. CONCLUSION:Endoscopic drainage and endoscopic necrosectomy are safe and effective techniques for the treatment of symptomatic pancreatic fluid collection.

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“…Wiersema [14] published the first case of pseudocyst drainage entirely guided by endosonography without the utilization of fluoroscopy. Subsequent series utilizing this method have reported good success rates and safety profiles [15][16][17] . Free perforation during EUS-guided drainage of pancreatic pseudocysts is a rare complication which is estimated to occur at a rate of 1% [18,19] .…”

Section: Discussionmentioning

confidence: 99%