EUS-guided drainage of hepatic abscesses not accessible to percutaneous drainage (with videos)

Noh, Se Hui; Park, Do Hyun; Kim, Yi Rang; Chun, Yoonhee; Lee, Han Chu; Lee, Sang‐Oh; Lee, Sang Soo; Seo, Dong Wan; Lee, Sung Koo; Kim, Myung–Hwan

doi:10.1016/j.gie.2009.12.045

Cited by 65 publications

(63 citation statements)

References 26 publications

(36 reference statements)

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“…The two main processes of EUS-BD with stenting are a dilation technique for fistula tracts and the placement of a stent. 2,3,16,17 Graded dilation or primary uses of a needle-knife or cystotome have been used for fistula dilation. 2,3,[9][10][11][13][14][15][16][17] Plastic or partial or fully covered self-expandable metal stents (FCSEMS) have been used for the placement of a stent in EUS-BDS.…”

mentioning

confidence: 99%

EUS-guided biliary drainage with transluminal stenting after failed ERCP: predictors of adverse events and long-term results

Park

Jang

Lee

et al. 2011

Gastrointestinal Endoscopy

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296

239

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mentioning

confidence: 99%

EUS-guided biliary drainage with transluminal stenting after failed ERCP: predictors of adverse events and long-term results

Park

Jang

Lee

et al. 2011

Gastrointestinal Endoscopy

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296

239

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“…However, reports of drainage using the EUS-FNA technique for liver abscesses suggest adhesion may not always be necessary [14][15][16][17][18]. Seewald et al [14] reported EUS-guided transgastric drainage for the well-encapsulated liver abscess which existed at the external lobe of the liver.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are some disadvantages, including the immobilization of patients for long periods of time because of the drainage tube, possibility of percutaneous transhepatic infection [14], and challenges in determining the timing of drainage tube removal due to concerns of recurrent infection. Recently, several authors have described endoscopic ultrasonography (EUS)-guided drainage of liver abscesses, which was developed from EUS-guided fine needle aspiration (EUS-FNA) [14][15][16][17][18], to overcome these challenges. However, to date there have been no reports of infected hepatic cysts being treated using EUS-guided drainage.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic ultrasonography-guided transmural drainage of an infected hepatic cyst due to Edwardsiella tarda: a case report

Taguchi

Tamai

Numata

et al. 2014

Clin J Gastroenterol

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Infected hepatic cysts are very rare compared to simple liver cysts and abscesses. We treated a 77-year-old man with an infected hepatic cyst in the lateral segment caused by Edwardsiella tarda, which has not been previously reported as a pathogenic organism associated with infected hepatic cysts. Percutaneous drainage was temporarily effective, but infection recurred after the drainage tube was removed. We then inserted two drainage tubes into the cyst using an endoscopic ultrasonography (EUS)-guided technique, which was developed from EUS-guided fine needle aspiration (EUS-FNA). The internal drainage tube was a 7 Fr double pigtail stent, and the external tube was a 6 Fr nasobiliary drainage tube. Lavage through the external drainage tube was carried out for one week. The external drainage tube was discontinued when the patient's condition improved significantly. Sixteen days after tube insertion, he was discharged with the internal tube draining the hepatic cyst into the stomach. Fifteen months after EUS-guided drainage, CT examination showed no recurrence of the hepatic cyst. EUS-guided drainage is an effective treatment for infected hepatic cysts.

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“…In all other cases 19-gauge EUS fine-needle aspiration (FNA) needle was used [Ang et al 2009; Itoi et al 2011;Noh et al 2010]. No preference in the puncture location on the abscess was reported by any author ( Figure 1A).…”

Section: Puncture Needlementioning

confidence: 99%

Endoscopic ultrasound-guided hepatic and perihepatic abscess drainage: an evolving technique

Singhal

Changela

Lane

et al. 2013

Therap Adv Gastroenterol

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Interventional radiology-guided percutaneous drainage of liver abscesses with concomitant use of antibiotics has been the conventional approach for the treatment of liver abscesses. Hepatic abscesses refractory or not amenable to percutaneous drainage have been treated with surgical drainage, either via laparoscopic or open laparotomy techniques. The aim of this review was to evaluate the technical feasibility and efficacy of endoscopic ultrasound (EUS)-guided drainage of liver abscesses. A literature review was performed to identify the studies describing the technique. In this review article we have summarized case series or reports describing EUS-guided liver abscess drainage. The indications, techniques, endoprostheses, limitations and complications reported are discussed. A total of seven cases have been described so far in the literature which included patients with failed conventional treatment modalities. The EUS-guided drainage technique involves puncturing the abscess using endosonography to gain access, passing a guidewire followed by tract dilation and placement of an endoprosthesis for drainage. Studies have reported 100% technical and clinical success rates in selected cases. No complications were reported. EUS-guided drainage of liver abscesses can be a safe and effective alternative approach in the management of liver abscesses in selected patients.

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EUS-guided drainage of hepatic abscesses not accessible to percutaneous drainage (with videos)

Cited by 65 publications

References 26 publications

EUS-guided biliary drainage with transluminal stenting after failed ERCP: predictors of adverse events and long-term results

EUS-guided biliary drainage with transluminal stenting after failed ERCP: predictors of adverse events and long-term results

Endoscopic ultrasonography-guided transmural drainage of an infected hepatic cyst due to Edwardsiella tarda: a case report

Endoscopic ultrasound-guided hepatic and perihepatic abscess drainage: an evolving technique

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