Endoscopic ultrasound-guided treatment of pancreatic fluid collections with lumen apposing metallic stents: lessons learned

被引:1
作者
Surjan, Rodrigo Canada [1 ]
Basseres, Tiago de Castro [2 ]
Micelli, Otavio [3 ]
Taglieri, Eloy [3 ]
Puzzo, Daniel Bauab [2 ]
Ardengh, Jose Celso [3 ]
机构
[1] Univ Sao Paulo, Med Sch, Hosp Nove Julho, Surg Dept, Rua Michigan 470 Torre 1,Apt 203 Brooklin Novo, BR-05456000 Sao Paulo, SP, Brazil
[2] Hosp Nove Julho, Surg Dept, Rua Peixoto Gomide 545, BR-01409902 Sao Paulo, SP, Brazil
[3] Hosp Nove Julho, Endoscopy Dept, Rua Peixoto Gomide 545, BR-01409902 Sao Paulo, SP, Brazil
关键词
Pancreatic cyst; Endoscopy; Ultrasonography; Prosthesis; PSEUDOCYST DRAINAGE; MANAGEMENT;
D O I
10.1007/s12328-018-0903-z
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Pancreatic fluid collections are common pancreatitis complications that frequently require drainage. Endoscopic ultrasound-guided placement of expandable lumen apposing metallic stents has recently emerged as an effective and less invasive treatment option. It is associated with less morbidity, lower costs, and faster clinical recovery than other therapeutic modalities. Nevertheless, this procedure may result in severe complications such as bleeding, buried stent syndrome, and prosthesis dislodgement (with perforation and peritoneal leakage). We performed 108 EUS-guided drainages with lumen apposing metallic stents for the treatment of pancreatic fluid collections with 8 complications and only two cases that required urgent surgical procedures resulting in one fatality. We present this two severe complications submitted to surgical treatment and discuss potential signs of alarm that must be taken under consideration before choosing a treatment modality.
引用
收藏
页码:142 / 148
页数:7
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