Endoscopic ultrasound-guided transmural drainage for pancreatic fistula or pancreatic duct dilation after pancreatic surgery

Onodera, Manabu; Kawakami, Hiroshi; Kudo, Taiki; Haba, Shin; Abe, Yoko; Kawahata, Shuhei; Eto, Kazunori; Nasu, Yuya; Tanaka, Eiichi; Hirano, Satoshi; Asaka, Masahiro

doi:10.1007/s00464-011-2097-z

Cited by 36 publications

(34 citation statements)

References 26 publications

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“…Stent removal occurring before complete PFC collapse might lead to PFC recurrence, particularly if a communication exists between the PFC and the pancreatic duct 35. Prolonged transluminal stent placement has been adopted as a strategy to prevent PFC recurrence, that is, the stent remaining in its proper position reduces the recurrence rate of PFC 36. On the contrary, the appropriate duration of stent placement is recommended to be short (7 to 10 days) because of a significant risk of stent migration if the stents were left in place longer than 10 days 37.…”

Section: Optimal Endoscopic Stents For Eus-tdmentioning

confidence: 99%

Endoscopic Ultrasound-Guided Transluminal Drainage for Peripancreatic Fluid Collections: Where Are We Now?

Kawakami¹,

Itoi²,

Sakamoto³

2014

Gut Liver

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Endoscopic drainage for pancreatic and peripancreatic fluid collections (PFCs) has been increasingly used as a minimally invasive alternative to surgical or percutaneous drainage. Recently, endoscopic ultrasound-guided transluminal drainage (EUS-TD) has become the standard of care and a safe procedure for nonsurgical PFC treatment. EUS-TD ensures a safe puncture, avoiding intervening blood vessels. Single or multiple plastic stents (combined with a nasocystic catheter) were used for the treatment of PFCs for EUS-TD. More recently, the use of covered self-expandable metallic stents (CSEMSs) has provided a safer and more efficient approach route for internal drainage. We focused our review on the best approach and stent to use in endoscopic drainage for PFCs. We reviewed studies of EUS-TD for PFCs based on the original Atlanta Classification, including case reports, case series, and previous review articles. Data on clinical outcomes and adverse events were collected retrospectively. A total of 93 patients underwent EUS-TD of pancreatic pseudocysts using CSEMSs. The treatment success and adverse event rates were 94.6% and 21.1%, respectively. The majority of complications were of mild severity and resolved with conservative therapy. A total of 56 patients underwent EUS-TD using CSEMSs for pancreatic abscesses or infected walled-off necroses. The treatment success and adverse event rates were 87.8% and 9.5%, respectively. EUS-TD can be performed safely and efficiently for PFC treatment. Larger diameter CSEMSs without additional fistula tract dilation for the passage of a standard scope are needed to access and drain for PFCs with solid debris.

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Section: Optimal Endoscopic Stents For Eus-tdmentioning

confidence: 99%

Endoscopic Ultrasound-Guided Transluminal Drainage for Peripancreatic Fluid Collections: Where Are We Now?

Kawakami¹,

Itoi²,

Sakamoto³

2014

Gut Liver

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“…EUS-guided transgastric and transduodenal drainage for pancreatic cyst have become standard and safe procedures for nonsurgical treatment. Even in patients with surgically altered anatomy, Onodera et al reported that EUS-guided transgastric drainage was successful in all patients, and the time to clinical success was significantly shorter with EUS transgastric drainage than with percutaneous drainage [7]. In this case, we selected EUS-guided transjejunal drainage for pancreatic cyst because the pancreas and gastric wall were not in contact, which may cause leakage of pancreatic and gastric juice from the puncture point.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope

Tomoda

Kato

Akimoto

et al. 2015

Clin J Gastroenterol

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There are few reports on endoscopic ultrasonography (EUS)-guided transjejunal drainage. Here, we report a case with postoperative pancreatic fistula treated by endoscopic transjejunal drainage using a forward-viewing (FV) echoendoscope. A 69-year-old woman who had undergone pancreaticoduodenectomy was admitted because of pancreatic fistula. Placement of plastic stents into the pancreatic duct using a double-balloon enteroscope and EUS-guided transgastric drainage failed. We attempted EUS-guided transjejunal drainage using an FV echoendoscope that can advance through the acute-angled intestinal tract safely, and drainage was performed. There were no complications, and follow-up computed tomography showed complete resolution.

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“…Intra-drainage of pancreatic juice, instead of extra-drainage, could lead to patient discharged with per-oral intake. Further, EUS-guided cyst-gastrostomy, by placing a stent between the gastric cavity and the fluid collection, was reported to be the method with preferable results [8,9]. However, the method is just a symptomatic treatment, as it allows for draining of the collected fluid leaking from the pancreatic duct, but does not treat PF itself.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, endoscopic procedures have been adapted to treat ARP, and the endoscopic ultrasound (EUS)-guided method was reported to be useful for such treatment [4][5][6][7]. Yet, symptomatic treatments using EUS-guided drainage of the collected fluid have been reported on several occasions [8,9], while there are only a few reports on draining a pancreatic duct [10,11]. We treated a total of 6 patients with PF by EUS-guided or percutaneous pancreatic duct drainage.…”

Section: Introductionmentioning

confidence: 99%

Strategy to Treat Pancreatic Fistula Using Comprehensive Endoscopic Procedures Together with Percutaneous Methods

Kikuyama¹,

Kawaguchi²

2016

Pancreat Disord Ther

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Endoscopic ultrasound-guided transmural drainage for pancreatic fistula or pancreatic duct dilation after pancreatic surgery

Abstract: Background Endoscopic ultrasound (EUS)-guided drainage is widely used to manage

Cited by 36 publications

References 26 publications

Endoscopic Ultrasound-Guided Transluminal Drainage for Peripancreatic Fluid Collections: Where Are We Now?

Endoscopic Ultrasound-Guided Transluminal Drainage for Peripancreatic Fluid Collections: Where Are We Now?

Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope

Strategy to Treat Pancreatic Fistula Using Comprehensive Endoscopic Procedures Together with Percutaneous Methods

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