EUS-guided drainage and stent placement for postoperative intra-abdominal and pelvic fluid collections in oncological surgery

Abstract

EUS-guided drainage and stenting provide another option for the management of postoperative collections. It allows access to areas that are difficult to reach with the CT-guided approach and it can be performed accurately, efficiently and safely. In addition to this, the internal nature of the drainage offers patients more comfort.

Comparative evaluation of two porcine ex-vivo models for training in endoscopic ultrasound-guided drainage of pancreatic fluid collections

“…abscesses [4]. The endoscopic transmural technique has gained wide acceptance for the drainage of pancreatic pseudocysts and likewise peri-enteric collections as a less invasive alternative to surgical and percutaneous drainage, with lower morbidity and more rapid recovery [5].…”

Rectal Cancer and Anal Sphincter Disorders

“…EUS-guided drainage and stenting provide another option for the management of postoperative pelvic fluid collections [89]. EUS-guided drainage of abdominopelvic abscesses unrelated to diverticular disease may be another future therapeutic indication [90].…”

Endoscopic Ultrasound-Guided Treatment beyond Drainage: Hemostasis, Anastomosis, and Others

“…Percutaneous drainage of symptomatic postsurgical abdominal collections has been the standardized approach to avoid repeat surgeries; however, because of the difficult and painful locations, EUS has been introduced to overcome these issues. 38 , 39 This technique has been described for the drainage of gallbladder collections and bilomas, 40 , 41 perirectal abscesses, 42 hematomas, 43 and postsurgical collections including distal pancreatectomy, 43 splenectomy, 43 , 44 and lower anterior rectal resections. 43 Singhal and colleagues 45 recently published a review of seven cases of EUS-guided liver abscess drainage.…”