EUS-guided transesophageal, transgastric, and transcolonic drainage of intra-abdominal fluid collections and abscesses

Successful endoscopic treatment of iatrogenic biloma as a complication of endosonography-guided hepaticogastrostomy: The first case report

“…This angulation prevented sudden leakage of bile, which might have led to the generalized bile peritonitis. EUS-guided drainage of the biloma and intra-abdominal fluid collection have been reported earlier only by Shami et al and Piraca et al 13,14 Both groups reported biloma drainage as a consequence of surgery, and these procedures were found to be feasible and safe. The technique we used in this case did not differ from those used for pancreatic pseudocyst drainage, and the clinical outcome was satisfactory.…”

Endoscopic ultrasound-guided gastroenterostomy for palliative drainage of an obstructed hepaticojejunostomy loop

“…EUS-guided drainage can offer all the benefits of radiologically guided percutaneous drainage with the additional advantage of avoidance of transcutaneous infection [5]. A short distance (< 2 cm) between the fluid collection and viscus, lack of ascites, and maturity of the fluid cavity all decrease risk of leakage at the puncture site [2]. Our case demonstrates the use of EUS in relieving biliary obstruction by drainage of an obstructed hepaticojejunostomy loop with transgastric gastroenterostomy.…”

“…EUS is widely used in the drainage of pancreatic pseudocysts [1]. Piraka et al have demonstrated that it is technically feasible to drain virtually any fluid collection as long as it is adjacent to the gastrointestinal lumen and within reach of the echoendoscope [2]. EUS has been used to drain postoperative and peripancreatic fluid collections [3,4].…”

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“…Pelvic and prostatic collections may also be drained by EUS guidance, as an alternative to surgery or percutaneous techniques, with a reported technical success of 100 %, a clinical success rate of 96 % and low adverse events [224 -234]. Drainage routes can be transesophageal, transgastric or transcolonic (transrectal), depending on the relationship between the collection and gastrointestinal tract [235]. Other fluid collections, e. g. bilomas, hematomas or inflammatory collections, can be drained completely by EUS guidance [215, 234 -237].…”