Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections
Background : Endoscopic ultrasound-guided drainage (EUSD) is an effective treatment for postoperative pancreatic fluid collections (POPFCs); however, standards regarding stents used for EUSD have not been established. This study analyzed the outcomes of EUSD of POPFCs at our hospital and examined th...
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Society of Gastrointestinal Intervention
2025-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240065 |
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| author | Shigeru Nishiyama Takeshi Hisa Aki Ego Shogo Sakata Yui Ito Akiharu Kudo Takahiro Yamada Shozo Osera Hideki Fukushima Shunta Ishizaki Ryoga Hamura Masashi Tsunematsu Kyohei Abe Yoshihiro Shirai Shinji Onda |
| author_facet | Shigeru Nishiyama Takeshi Hisa Aki Ego Shogo Sakata Yui Ito Akiharu Kudo Takahiro Yamada Shozo Osera Hideki Fukushima Shunta Ishizaki Ryoga Hamura Masashi Tsunematsu Kyohei Abe Yoshihiro Shirai Shinji Onda |
| author_sort | Shigeru Nishiyama |
| collection | DOAJ |
| description | Background : Endoscopic ultrasound-guided drainage (EUSD) is an effective treatment for postoperative pancreatic fluid collections (POPFCs); however, standards regarding stents used for EUSD have not been established. This study analyzed the outcomes of EUSD of POPFCs at our hospital and examined the safety and effectiveness of plastic stents/tubes. Methods : This retrospective, single-center study focused on EUSD of POPFCs performed at our hospital. We examined the rates of technical success, clinical success, adverse events, and recurrence. Results : Twenty-seven patients were included in this study. The initial drainage methods comprised one nasocystic plastic tube (NPT) and one double-pigtail plastic stent (DPS) for 19 (70.4%) patients, two DPS for four (14.8%) patients, one NPT for three (11.1%) patients, and one lumen-apposing metal stent for one (3.7%) patient. The technical success and clinical success rates were both 100%. Fourteen of the 19 patients with one NPT and one DPS improved, but five patients required additional interventions and improved with fistula site dilation. Although recurrence occurred in one patient, improvement was achieved with second EUSD. Early adverse events comprised one case of bleeding for which hemostasis was achieved by performing coil embolization. Late adverse events comprised three cases of DPS migration; however, no additional intervention was required. Conclusion : The use of plastic tubes/stents is safe and effective for EUSD of POPFCs. |
| format | Article |
| id | doaj-art-9fffb7d1c86a4058a5786e27a9cb79a5 |
| institution | Kabale University |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-9fffb7d1c86a4058a5786e27a9cb79a52025-01-22T15:13:37ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-01-01141151910.18528/ijgii240065ijgii240065Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collectionsShigeru Nishiyama0Takeshi Hisa1Aki Ego2Shogo Sakata3Yui Ito4Akiharu Kudo5Takahiro Yamada6Shozo Osera7Hideki Fukushima8Shunta Ishizaki9Ryoga Hamura10Masashi Tsunematsu11Kyohei Abe12Yoshihiro Shirai13Shinji Onda14Department of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Digestive Surgery, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Digestive Surgery, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Digestive Surgery, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Digestive Surgery, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Digestive Surgery, Saku Central Hospital Advanced Care Center, Nagano, JapanDepartment of Digestive Surgery, Saku Central Hospital Advanced Care Center, Nagano, JapanBackground : Endoscopic ultrasound-guided drainage (EUSD) is an effective treatment for postoperative pancreatic fluid collections (POPFCs); however, standards regarding stents used for EUSD have not been established. This study analyzed the outcomes of EUSD of POPFCs at our hospital and examined the safety and effectiveness of plastic stents/tubes. Methods : This retrospective, single-center study focused on EUSD of POPFCs performed at our hospital. We examined the rates of technical success, clinical success, adverse events, and recurrence. Results : Twenty-seven patients were included in this study. The initial drainage methods comprised one nasocystic plastic tube (NPT) and one double-pigtail plastic stent (DPS) for 19 (70.4%) patients, two DPS for four (14.8%) patients, one NPT for three (11.1%) patients, and one lumen-apposing metal stent for one (3.7%) patient. The technical success and clinical success rates were both 100%. Fourteen of the 19 patients with one NPT and one DPS improved, but five patients required additional interventions and improved with fistula site dilation. Although recurrence occurred in one patient, improvement was achieved with second EUSD. Early adverse events comprised one case of bleeding for which hemostasis was achieved by performing coil embolization. Late adverse events comprised three cases of DPS migration; however, no additional intervention was required. Conclusion : The use of plastic tubes/stents is safe and effective for EUSD of POPFCs.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240065drainageendosonographypancreatic fistulapostoperative complicationsstents |
| spellingShingle | Shigeru Nishiyama Takeshi Hisa Aki Ego Shogo Sakata Yui Ito Akiharu Kudo Takahiro Yamada Shozo Osera Hideki Fukushima Shunta Ishizaki Ryoga Hamura Masashi Tsunematsu Kyohei Abe Yoshihiro Shirai Shinji Onda Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections International Journal of Gastrointestinal Intervention drainage endosonography pancreatic fistula postoperative complications stents |
| title | Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections |
| title_full | Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections |
| title_fullStr | Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections |
| title_full_unstemmed | Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections |
| title_short | Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections |
| title_sort | endoscopic ultrasound guided drainage of postoperative pancreatic fluid collections |
| topic | drainage endosonography pancreatic fistula postoperative complications stents |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240065 |
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