Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in China
Aims. We attempted to establish some guidelines for the selection of transmural stents during endoscopic drainage of PFCs by retrospective review of the clinical data obtained from three tertiary hospitals. Patients and Methods. Clinical data of 93 patients with attempted endoscopic drainage of symp...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/193562 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832548784393945088 |
|---|---|
| author | Hui Lin Xian-Bao Zhan Si-Yu Sun Xiu-Jiang Yang Zhen-Dong Jin Duo-Wu Zou Zhao-Shen Li |
| author_facet | Hui Lin Xian-Bao Zhan Si-Yu Sun Xiu-Jiang Yang Zhen-Dong Jin Duo-Wu Zou Zhao-Shen Li |
| author_sort | Hui Lin |
| collection | DOAJ |
| description | Aims. We attempted to establish some guidelines for the selection of transmural stents during endoscopic drainage of PFCs by retrospective review of the clinical data obtained from three tertiary hospitals. Patients and Methods. Clinical data of 93 patients with attempted endoscopic drainage of symptomatic PFCs were obtained through chart review and prospective follow-up. Results. Treatment success for acute pseudocyst (n=67), chronic pseudocyst (n=9), and WOPN (n=17) was 95.3%, 100%, and 88.2%, respectively (P=0.309). Clinical success for single-stent drainage was 93.9% (46/49) versus 97.4% (37/38) for multiple-stent drainage (P=0.799). Secondary infection for single-stent drainage was 18.4% (9/49) versus 5.3% (2/38) for multiple-stent drainage (P=0.134). Secondary infection for stent diameter less than or equal to 8.5 F was 3.4% (1/29) versus 17.2% (10/58) for stent diameter larger than or equal to 10 F (P=0.138). Conclusion. EUS-guided transmural drainage is an effective therapy for PFCs. Single-stent transmural drainage of PFCs is enough and does not seem to influence clinical success. The number or diameter of stents does not seem to be associated with secondary infection. |
| format | Article |
| id | doaj-art-c663b2b56b024223b5fc903286d0ebdb |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-c663b2b56b024223b5fc903286d0ebdb2025-02-03T06:13:08ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/193562193562Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in ChinaHui Lin0Xian-Bao Zhan1Si-Yu Sun2Xiu-Jiang Yang3Zhen-Dong Jin4Duo-Wu Zou5Zhao-Shen Li6Department of Gastroenterology, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai 200072, ChinaDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai 200433, ChinaDigestive Endoscopy Center, Sheng Jing Hospital of China Medical University, Shenyang 110004, ChinaDigestive Endoscopy Center, Fudan University Shanghai Cancer Center, Shanghai 200032, ChinaDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai 200433, ChinaDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai 200433, ChinaDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai 200433, ChinaAims. We attempted to establish some guidelines for the selection of transmural stents during endoscopic drainage of PFCs by retrospective review of the clinical data obtained from three tertiary hospitals. Patients and Methods. Clinical data of 93 patients with attempted endoscopic drainage of symptomatic PFCs were obtained through chart review and prospective follow-up. Results. Treatment success for acute pseudocyst (n=67), chronic pseudocyst (n=9), and WOPN (n=17) was 95.3%, 100%, and 88.2%, respectively (P=0.309). Clinical success for single-stent drainage was 93.9% (46/49) versus 97.4% (37/38) for multiple-stent drainage (P=0.799). Secondary infection for single-stent drainage was 18.4% (9/49) versus 5.3% (2/38) for multiple-stent drainage (P=0.134). Secondary infection for stent diameter less than or equal to 8.5 F was 3.4% (1/29) versus 17.2% (10/58) for stent diameter larger than or equal to 10 F (P=0.138). Conclusion. EUS-guided transmural drainage is an effective therapy for PFCs. Single-stent transmural drainage of PFCs is enough and does not seem to influence clinical success. The number or diameter of stents does not seem to be associated with secondary infection.http://dx.doi.org/10.1155/2014/193562 |
| spellingShingle | Hui Lin Xian-Bao Zhan Si-Yu Sun Xiu-Jiang Yang Zhen-Dong Jin Duo-Wu Zou Zhao-Shen Li Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in China Gastroenterology Research and Practice |
| title | Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in China |
| title_full | Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in China |
| title_fullStr | Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in China |
| title_full_unstemmed | Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in China |
| title_short | Stent Selection for Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections: A Multicenter Study in China |
| title_sort | stent selection for endoscopic ultrasound guided drainage of pancreatic fluid collections a multicenter study in china |
| url | http://dx.doi.org/10.1155/2014/193562 |
| work_keys_str_mv | AT huilin stentselectionforendoscopicultrasoundguideddrainageofpancreaticfluidcollectionsamulticenterstudyinchina AT xianbaozhan stentselectionforendoscopicultrasoundguideddrainageofpancreaticfluidcollectionsamulticenterstudyinchina AT siyusun stentselectionforendoscopicultrasoundguideddrainageofpancreaticfluidcollectionsamulticenterstudyinchina AT xiujiangyang stentselectionforendoscopicultrasoundguideddrainageofpancreaticfluidcollectionsamulticenterstudyinchina AT zhendongjin stentselectionforendoscopicultrasoundguideddrainageofpancreaticfluidcollectionsamulticenterstudyinchina AT duowuzou stentselectionforendoscopicultrasoundguideddrainageofpancreaticfluidcollectionsamulticenterstudyinchina AT zhaoshenli stentselectionforendoscopicultrasoundguideddrainageofpancreaticfluidcollectionsamulticenterstudyinchina |