Endoscopic ultrasound-guided drainage of abdominal fluid collections after pancreatic surgery: Efficacy and long-term follow-up

Denzer, Ulrike W.; Sioulas, Athanasios D.; Abdulkarim, M.; Groth, Stefan; Rösch, Thomas; Busch, Philipp; Izbicki, Jakob R.; Ittrich, Harald; Adam, Gerhard; Schachschal, Guido

doi:10.1055/s-0042-112032

Cited by 11 publications

(14 citation statements)

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“…However, these studies reported varying etiologies of postoperative fluid collection, pseudocysts, and several methods of drainage. [1617181920] Regardless, endoscopic drainage was preferred over percutaneous drainage because percutaneous drainage led to a lower quality of life due to the external drain[2122] and the risk of permanent pancreaticocutaneous fistula in 25% of cases. [2324] Studies investigating endoscopic treatment of post-pancreatectomy fluid collection have focused on transpapillary drainage;[25] however, this technique has limited efficacy due to the limitation of the size of the pancreatic stent used.…”

Section: Introductionmentioning

confidence: 99%

Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up

et al. 2019

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Section: Introductionmentioning

confidence: 99%

Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up

et al. 2019

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“…Thirteen studies were included in the final analysis. [1789232425262728293031] Out of the 13 studies, 10 studies provided data on the use of EUS in POPFC management (EUS-POPFC)[18924252627282930] and 6 provided data on the use of PCD in POPFC (PCD-POPFC). [789232731]…”

Section: Resultsmentioning

confidence: 99%

“…All 13 studies were of retrospective nature. [1789232425262728293031] Out of the included 13 studies, none were population based. Two studies[2728] were from multicenter data and rest were from single center.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies[2728] were from multicenter data and rest were from single center. Four studies had more than 40 patients,[7242731] seven studies had 20–39 patients,[23252627282930] and the rest had <20 patients in their study group. All studies reported adequately on the technical success and clinical success outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies had no mention on the duration of follow-up. [179232831] Overall, five studies[2425262729] were considered of high quality and rest were considered medium quality. There were no low-quality studies.…”

Section: Resultsmentioning

confidence: 99%

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EUS versus percutaneous management of postoperative pancreatic fluid collection: A systematic review and meta-analysis

Mohan¹,

Shakhatreh²,

Dugyala³

et al. 2019

Endosc Ultrasound

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Postoperative pancreatic fluid collection (POPFC) is an important complication following abdominal surgery. POPFC causes significant morbidity and mortality. Management options are time-consuming and severely affect patient's quality of life. Surgical and/or percutaneous drainage (PCD) is the traditional mainstay of treatment. Studies have shown that EUS could have a role to play in the management of POPFC. Data are limited in the comparison of clinical outcomes with EUS as compared to PCD to this end. We conducted a comprehensive search of multiple electronic databases and conference proceedings including PubMed, EMBASE, Google Scholar, LILACS, and Web of Science databases (earliest inception through September 2018) to identify studies that reported on the clinical outcomes of EUS and PCD in the management of POPFC. The goals were to estimate and compare the pooled rates of technical success, clinical success, adverse events, and POPFC recurrence with EUS and PCD. A total of 13 studies were included in the analysis. Ten studies (239 patients) used EUS and 6 studies (267 patients) used PCD in the management of POPFC. The pooled rate of clinical success with EUS was 93.2% (95% confidence interval [CI] 88.2–96.2, I2 = 0) and with PCD was 79.8% (95% CI 70–87, I2 = 74). The difference was statistically significant, P = 0.002. Recurrence rate was significantly lower with EUS as compared to PCD (9.4%: 95% CI 5.2–16.5 vs. 25.7%: 95% CI 24.3–41.7; P = 0.02). Pooled rates of technical success and adverse events were similar with EUS and PCD. Our meta-analysis shows that EUS has significantly better clinical outcomes, in terms of clinical success and disease recurrence, in the management of POPFC as compared to PCD.

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Endoskopisches Komplikationsmanagement im hepatobiliopankreatischen System und Tracheobronchialbaum

Kouladouros

Kähler²

2022

Chirurgie

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Endoscopic ultrasound-guided drainage of abdominal fluid collections after pancreatic surgery: Efficacy and long-term follow-up

Abstract: EUS-GD is an effective, minimally invasive and safe method for therapy of POFC after pancreatic surgery offering long-term remission in about 95 % of cases.

Cited by 11 publications

References 11 publications

Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up

Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up

EUS versus percutaneous management of postoperative pancreatic fluid collection: A systematic review and meta-analysis

Endoskopisches Komplikationsmanagement im hepatobiliopankreatischen System und Tracheobronchialbaum

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