EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses

被引：41
作者：
Sadik, Riadh [1 ]
Kalaitakis, Evangelos [1 ]
Thune, Anders [2 ]
Hansen, Jan [1 ]
Jonson, Claes [2 ]
机构：
[1] Univ Gothenburg, Sahlgrenska Acad, Dept Internal Med, Inst Med, SE-41345 Gothenburg, Sweden
[2] Univ Gothenburg, Sahlgrenska Acad, Dept Surg, Inst Med, SE-41345 Gothenburg, Sweden
来源：
WORLD JOURNAL OF GASTROENTEROLOGY | 2011年 / 17卷 / 04期
关键词：
Pancreas; Endoscopic ultrasound; Drainage; Pseudocyst; Abscess; ENDOSCOPIC ULTRASOUND; TRANSMURAL DRAINAGE; ECHO ENDOSCOPE; DUCTAL ANATOMY; COMPLICATIONS; NECROSECTOMY; DETERMINES; PREDICTS;
D O I：
10.3748/wjg.v17.i4.499
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
AIM: To compare the results for endoscopic ultrasound (EUS)-guided drainage of clear fluid pancreatic pseudocysts with the results for abscess drainage. METHODS: All patients referred for endoscopic drainage of a fluid collection were prospectively included. The outcome was recorded. RESULTS: Altogether 26 pseudocysts or abscesses were treated in 25 (6 female) patients. One endoscopist performed the procedures. Non-infected pseudocysts were present in 15 patients and 10 patients had infected fluid collections. The cyst size ranged between 28 cm x 13 cm and 5 cm x 5 cm. The EUS drainage was successful in 94% of the pseudocysts and in 80% of the abscesses (P = 0.04). The complication rate in pseudocysts was 6% and in abscesses was 30% (P = 0.02). Recurrence of a pseudocyst occurred in one patient (4%) after 6 mo; the patient was successfully retreated. CONCLUSION: EUS-guided drainage of pseudocysts is associated with a higher success rate and a lower complication rate compared with abscess drainage. (C) 2011 Baishideng. All rights reserved.
引用
收藏
页码：499 / 505
页数：7
相关论文
共 18 条
[1]   Endoscopic ultrasound directed pseudocyst drainage without the use of fluoroscopy: a case series [J].
Ayub, Kamran ;
Patterson, D. ;
Irani, S. ;
Schembre, D. ;
Gluck, M. ;
Brandabur, J. ;
Jiranek, G. ;
Ross, A. ;
Lin, O. ;
Kozarek, R. .
GASTROINTESTINAL ENDOSCOPY, 2009, 69 (02) :S234-S234
[2]   Endoscopic drainage of pancreatic pseudocysts [J].
Baron, Todd H. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2008, 12 (02) :369-372
[3]  
Behrns KE, 2009, J AM COLL SURGEONS, V208, P799
[4]   Timing of surgical intervention in necrotizing pancreatitis [J].
Besselink, Marc G. H. ;
Verwer, Thomas J. ;
Schoenmaeckers, Ernst J. P. ;
Buskens, Erik ;
Ridwan, Ben U. ;
Visser, Maarten R. ;
Nieuwenhuijs, Vincent B. ;
Gooszen, Hein G. .
ARCHIVES OF SURGERY, 2007, 142 (12) :1194-1201
[5]   Endoscopic drainage of pancreatic pseudocysts: Long-term outcome and procedural factors associated with safe and successful treatment [J].
Cahen, D ;
Rauws, E ;
Fockens, P ;
Weverling, G ;
Huibregtse, K ;
Bruno, M .
ENDOSCOPY, 2005, 37 (10) :977-983
[6]   Early and late complications after pancreatic necrosectomy [J].
Connor, S ;
Alexakis, N ;
Raraty, MGT ;
Ghaneh, P ;
Evans, J ;
Hughes, M ;
Garvey, CJ ;
Sutton, R ;
Neoptolemos, JP .
SURGERY, 2005, 137 (05) :499-505
[7]   Endoscopic ultrasound-guided drainage of pancreatic pseudocysts or pancreatic abscesses using a therapeutic echo endoscope [J].
Giovannini, M ;
Pesenti, C ;
Rolland, AL ;
Moutardier, V ;
Delpero, JR .
ENDOSCOPY, 2001, 33 (06) :473-477
[8]   Endoscopic ultrasound drainage of pancreatic pseudocyst: A prospective comparison with conventional endoscopic drainage [J].
Kahaleh, M ;
Shami, VM ;
Conaway, MR ;
Tokar, J ;
Rockoff, T ;
De La Rue, SA ;
de Lange, E ;
Bassignani, M ;
Gay, S ;
Adams, RB ;
Yeaton, P .
ENDOSCOPY, 2006, 38 (04) :355-359
[9]   Clinicians' attitudes towards endoscopic ultrasound: A survey of four European countries [J].
Kalaitzakis, Evangelos ;
Panos, Marios ;
Sadik, Riadh ;
Aabakken, Lars ;
Koumi, Andriani ;
Meenan, John .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2009, 44 (01) :100-U127
[10]   Endoscopic management of pancreatic pseudocysts or abscesses after an EUS-guided 1-step procedure for initial access [J].
Krüger, M ;
Schneider, AS ;
Manns, MP ;
Meier, PN .
GASTROINTESTINAL ENDOSCOPY, 2006, 63 (03) :409-416
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