Safety and Complications of Interventional Endoscopic Ultrasound

Saumoy, Monica; Kahaleh, Michel

doi:10.5946/ce.2017.081

Cited by 13 publications

(13 citation statements)

References 28 publications

(31 reference statements)

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“…Though EUS is an invasive procedure, it has a low complication rate as a diagnostic tool. The safety of EUS alone as a diagnostic procedure is not as well studied as EUS in conjunction with interventional procedures, such as fine-needle aspiration [26]. However, a study involving the review of 43,852 patients found only 16 (0.03%) had perforation in the cervical esophagus [27].…”

Section: Discussionmentioning

confidence: 99%

The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase

et al. 2019

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Background/Aims The aim of this study was to describe the diagnostic yield of endoscopic ultrasound (EUS) in patients with isolated elevated levels of amylase and/or lipase. Methods A retrospective chart review was conducted at a large academic medical center from 2000 to 2016. Patients were selected based on having elevated amylase, lipase, or both, but without a diagnosis of pancreatitis or known pancreatobiliary disease. Patients were excluded if they had abnormal liver function tests or abnormal imaging of the pancreas. Results Of 299 EUS procedures performed, 38 met inclusion criteria. Symptoms were present in 31 patients, most frequently abdominal pain (87%). In 20 patients (53%), initial EUS most commonly found chronic pancreatitis ( n =7; 18%), sludge (5; 13%), or new diagnosis of pancreas divisum (3; 8%). In the asymptomatic patients (7), 3 had a finding on EUS, most importantly sludge (2), stone (1), and pancreas divisum (1). No patients were diagnosed with a mass or pancreatic cyst. During the follow up period, 6 patients (22%) had cholecystectomy. Conclusions In our study of patients with isolated elevations in amylase and/or lipase without acute pancreatitis who underwent EUS, approximately 50% had a pancreatobiliary finding, most commonly chronic pancreatitis or biliary sludge.

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Section: Discussionmentioning

confidence: 99%

The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase

et al. 2019

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“…There was no difference in the incidence of perforation or bleeding among the two groups on any statistical test applied and these specific complications have been studied in both group of patients in the past as well by Nabi et al, and Saumoy et al 13,14 . Similar results were obtained in case series published by Malik et al Which showed that laparoscopic procedure was a safe open surgical method for peri pancreatic collections and average hospital stay was 4.1 ± 2.3 days 19 .…”

Section: Discussionmentioning

confidence: 83%

“…Previous studies have clearly demonstrated a better safety profile of endoscopic procedures for peri-pancreatic fluid collections but many complications have been seen to arise especially due to poor interventional or endoscopic skills in the management of biliary pathologies or due to unavailability of resources, facilities and skilled staff. Perforation, bleeding and secondary infections are some of the commonly occurring complications in the patients undergoing endoscopic procedure for the drainage of peri-pancreatic fluid collections 13,14 .…”

Section: Introductionmentioning

confidence: 99%

Conventional Surgery v/S Interventional Management of Peripancreatic Collections Related to Acute Pancreatitis

Yasin¹,

Wattuu²,

Butt³

et al. 2021

PAFMJ

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Objective: To determine the difference in outcomes of conventional surgery v/s. interventional methods for peripancreatic collections after acute pancreatitis at Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi. Study Design: Prospective comparative study. Place and Duration of Study: Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi, fromApr 2018 to Mar 2019. Methodology: A prospective study was conducted on 100 patients who underwent either surgical or intervenetional management of peri-pancreatic collections after an episode of acute pancreatitis. Detailed assessments of positive outcomes and all side effects were done immediately post-procedure, at 48 hours, at the time of discharge and two weeks after procedure on all the participants. Results: Out of 100 patients included in the final analysis 78 were male and 22 were female. Mean age of patients in our study who underwent either surgery or intervention for peri-pancreatic collection was 42.41 ± 3.521 years. Mean duration of hospital stay after the surgery was 6.93 ± 4.662 days. Using binary logistic regression we found no statistically significant difference between both approaches in terms of positive outcomes or therapeutic use but presence of infection and readmission in hospital had a strong relationship with conventional surgery (p-value <0.05). Conclusion: No statistically significant difference in therapeutic use was observed, however, complication rate,especially infections and readmission was statistically significantly higher among the patients undergoingconventional surgery as compared to interventional management.

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“…In comparison with diagnostic EUS, interventional EUS has a higher risk of complications due to operator-based experience and procedure difficulty. Nevertheless, interventional EUS has an overall success rate of more than 90% [ 43 ].…”

Section: Types Of Endoscopymentioning

confidence: 99%

Advances in gastrointestinal surgical endoscopy

Rudiman

2021

Annals of Medicine and Surgery

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Surgeons have a role in observing, detect abnormalities, disease, and other deficiencies in function which could be treated. Diagnosing and treating back days were challenging for many reasons. However, technology's innovation enhances surgeons' ability to treat their patients. The term endoscopy refers to the Greek prefix endo- (“within”) and the verb skopein (“to view or observe”). Endoscopy is practical both in the diagnosis and treatment of various pathologies. Technological advances, especially in endoscopy, gradually progress and discover many possibilities which allow rapid advancement. Endoscopy development aims to assess human orifice that has not been inspected, probed, and examined over the centuries. Endoscopy over these decades is improving, which led to new problem solving using advanced technological approaches. Thus, a surgeon can solve any issues from examination, diagnosis, and treatment using progressive endoscopy evolution. This review delivers a brief history of advances in surgical endoscopy and describes current endoscopy development.

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Safety and Complications of Interventional Endoscopic Ultrasound

Cited by 13 publications

References 28 publications

The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase

The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase

Conventional Surgery v/S Interventional Management of Peripancreatic Collections Related to Acute Pancreatitis

Advances in gastrointestinal surgical endoscopy

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