The Effectiveness and Feasibility of Endoscopic Ultrasound-guided Transgastric Drainage of Postoperative Fluid Collections Early After Pancreatic Surgery

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Yasuro FutagawaKatsuhiko Yanaga

Abstract

To assess the feasibility and usefulness of endoscopic ultrasound-guided transgastric drainage (EUS-GD) in patients who required early postoperative drainage of peripancreatic fluid collection or postoperative pancreatic fistulas after pancreatic surgery. Between May 2012 and January 2016, 33 patients who developed peripancreatic fluid collection or postoperative pancreatic fistulas after pancreatic resection underwent EUS-GD or percutaneous drainage (PTD). Outcomes were compared retrospectively. The drainage procedures were performed on postoperative day 4 to 71 (median, 12) in the EUS-GD group, and 7 to 35 (median, 14) in the PTD group. Technical and clinical success rates reached 92% (11/12) in the EUS-GD group, and 100% (21/21) in the PTD group with no complications or mortality. The duration of hospital stay after drainage was 10 to 44 (median, 15) days for EUS-GD, compared with 10 to 39 (median, 21) days for PTD. EUS-GD is a safe and useful method for early drainage, which could be a good alternative to PTD.

References

Sep 1, 1996·Gastroenterology·T H BaronR J Stanley
Feb 26, 2003·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Taylor A SohnKeith D Lillemoe
Feb 28, 2004·Gastrointestinal Endoscopy Clinics of North America·Myriam DelhayeJacques Devière
May 29, 2012·Journal of the American College of Surgeons·Nabeel AzeemMichael L Kendrick
Oct 2, 2012·Gastrointestinal Endoscopy·Tarun GuptaJacques Devière
Oct 9, 2013·Journal of the American College of Surgeons·Amy TilaraMark Schattner

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Citations

Nov 7, 2019·Therapeutic Advances in Gastroenterology·Takashi TamuraHiroki Yamaue
Dec 4, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Qi-Chen CaiBin Xiong

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