Endoscopic ultrasound-guided drainage of pancreatic walled-off necrosis using self-expanding metal stents without fluoroscopy

World Journal of Gastrointestinal Endoscopy
Barbara BradenChristoph F Dietrich

Abstract

To investigate whether endoscopic ultrasound (EUS)-guided insertion of fully covered self-expandable metal stents in walled-off pancreatic necrosis (WOPN) is feasible without fluoroscopy. Patients with symptomatic pancreatic WOPN undergoing EUS-guided transmural drainage using self-expandable and fully covered self expanding metal stents (FCSEMS) were included. The EUS visibility of each step involved in the transmural stent insertion was assessed by the operators as "visible" or "not visible": (1) Access to the cyst by needle or cystotome; (2) insertion of a guide wire; (3) introducing of the diathermy and delivery system; (4) opening of the distal flange; and (5) slow withdrawal of the delivery system until contact of distal flange to cavity wall. Technical success was defined as correct positioning of the FCSEMS without the need of fluoroscopy. In total, 27 consecutive patients with symptomatic WOPN referred for EUS-guided drainage were included. In 2 patients large traversing arteries within the cavity were detected by color Doppler, therefore the insertion of FCSEMS was not attempted. In all other patients (92.6%) EUS-guided transgastric stent insertion was technically successful without fluoroscopy. All steps of the proce...Continue Reading

References

Mar 15, 2012·JAMA : the Journal of the American Medical Association·Olaf J BakkerUNKNOWN Dutch Pancreatitis Study Group
Oct 27, 2012·Gut·Peter A BanksUNKNOWN Acute Pancreatitis Classification Working Group
Jan 5, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Surinder Singh RanaKartar Singh
Jan 9, 2014·Surgical Endoscopy·Sandra van BrunschotHjalmar C van Santvoort
Oct 8, 2014·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Raj J ShahMichel Kahaleh
Dec 5, 2014·World Journal of Gastroenterology : WJG·Barbara Braden, Christoph F Dietrich

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Citations

Jul 18, 2019·Current Opinion in Gastroenterology·Raj Dalsania, Field F Willingham
Mar 6, 2019·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Ashish K JhaArya Suchismita
Aug 17, 2019·Endoscopic Ultrasound·Barbara BradenChristoph Frank Dietrich
Feb 29, 2020·Journal of Hepato-biliary-pancreatic Sciences·Daniel M FelsenreichXiang Eric D Dong
Dec 23, 2020·Journal of Clinical Medicine·Tanyaporn ChantarojanasiriHiroyuki Isayama

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