Novel use of fully covered self-expandable metal stent for drainage of perirectal abscess. A case series

Lee, Mindy; Izzy, Manhal; Ho, Sammy

doi:10.1016/j.ajg.2017.05.017

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Reported studies show that as a standard approach, plastic stents are frequently complicated by migration, stenosis and revision. [ 24 ] The novel FCSEMS is safer and more effective than plastic stents. Our findings showed that the clinical success rate of the plastic-stent subgroup was 89%, higher than that of the FCSEMS subgroup (71%); however, both groups had technical success rates of 100%.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-guided drainage to abdominal abscess

Liu

Tian

Jiang

et al. 2022

Journal of Minimal Access Surgery

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Background: Ultrasound (US)- or computed tomography-guided drainage for abdominal abscess is currently the first-line options for drainage, but both options have disadvantages. Patients without adequate windows for drainage mostly undergo surgical drainage. However, surgical drainage is invasive and expensive. Endoscopic US (EUS)-guided drainage is a minimally invasive alternative for abdominal abscess, but there is less consensus on its efficacy, safety and complications. This meta-analysis aims to evaluate EUS-guided drainage for abdominal abscess. Materials and Methods: We retrieved relevant papers on EUS-guided drainage for abdominal abscess from the PubMed, Cochrane Library, Web of Science and EMBASE databases. Each paper was reviewed, and data were extracted. We used R software version 3.6.3 to perform the meta-analysis. Fixed effects models were used for merging data. Results: A total of 11 papers met the inclusion criteria, with a total sample population of 264 patients. The meta-analysis showed that the pooled clinical success rate was 90% (95% confidence interval [CI], 0.85–0.95), the technical success rate was 99% (95% CI, 0.97–1.00) and the recurrence rate was 1% (95% CI, 0.00–0.03). Three studies reported the complications, including perforation, bleeding and stent migration; none of the other eight studies reported complications. There were no significant differences between subgroups. There was no publication bias in either the clinical or the technical success rates. Conclusions: This meta-analysis showed that EUS-guided drainage for abdominal abscess was effective and safe, with an excellent technical success rate. In addition, EUS-guided drainage could be used for abscesses with complex anatomy. Nevertheless, complications and stent type should be considered.

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Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-guided drainage to abdominal abscess

Liu

Tian

Jiang

et al. 2022

Journal of Minimal Access Surgery

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Endoscopic Ultrasound-Guided Drainage of Pelvic, Intra-abdominal, and Mediastinal Abscesses

Dawod

Nieto

2018

Interventional Endoscopic Ultrasound

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Pelvic abscess treatment: A novel experience with UNICO drainage

Fazzotta,

Locurto,

Airò Farulla

et al. 2024

Il Giornale Di Chirurgia - Journal of the Italian Association of Hospital Surgeons

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Pelvic abscess can be a life-threatening condition due to infected fluid collection. Usually, pelvic abscess occurs as a complication of surgical procedures or pelvic organ tumors, inflammatory pelvic conditions, infectious gastrointestinal tract and gynecological diseases. Drainage is the standard treatment of pelvic abscess especially after failure of the antibiotic therapy. UNICO drainage is an innovative catheter for minimal invasive centesis and miscellaneous drainage procedures. In this report, it was used on three patients with pelvic abscess of different etiology: Pelvic inflammatory disease, Crohn disease, and endometriosis. In all cases, UNICO drainage was applied transrectally under loco-regional anesthesia. The procedure was well tolerated with rapid improvement of clinical conditions in all cases. The procedure was easy and rapid and there were no complications in any of the three cases reported. UNICO drainage is a simple and effective drainage tool and it can be a valid alternative for pelvic abscess drainage.

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Novel use of fully covered self-expandable metal stent for drainage of perirectal abscess. A case series

Cited by 3 publications

References 14 publications

Endoscopic ultrasound-guided drainage to abdominal abscess

Endoscopic ultrasound-guided drainage to abdominal abscess

Endoscopic Ultrasound-Guided Drainage of Pelvic, Intra-abdominal, and Mediastinal Abscesses

Pelvic abscess treatment: A novel experience with UNICO drainage

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