Pancreatic Endoscopic Ultrasound-guided Fine Needle Aspiration: Complication rate and clinical course in a single centre

Carrara, Sandro; Arcidiacono, Paolo Giorgio; Mezzi, Gianni; Petrone, Maria Chiara; Boemo, Cinzia; Testoni, Pier Alberto

doi:10.1016/j.dld.2009.10.002

Cited by 75 publications

(58 citation statements)

References 14 publications

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“…A recent study by Carrara and colleagues reported a duodenal perforation rate of 0.09% in a series of 3296 patients who underwent EUS with fine-needle aspiration [Carrara et al 2010]. The data in the literature on surgical management of these perforations are not currently comforting.…”

mentioning

confidence: 96%

An ‘omental patch’ created during over-the-scope clipping completely sealed a duodenal perforation after endoultrasonography

Mangiavillano

Morandi

Arena

et al. 2014

Therap Adv Gastroenterol

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mentioning

confidence: 96%

An ‘omental patch’ created during over-the-scope clipping completely sealed a duodenal perforation after endoultrasonography

Mangiavillano

Morandi

Arena

et al. 2014

Therap Adv Gastroenterol

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“…The overall complication rate of EUS-FNA is reported to be <1% in large centers. In one study, among 1,034 patients who underwent pancreatic EUS-FNA, the complications included 10 (0.96%) cases of hemorrhage, two (0.19%) cases of acute pancreatitis and one (0.09%) case of duodenal perforation (23). It has been reported that EUS-FNA is a useful and safe method for evaluating pancreatic masses, with a high feasibility rate even when the lesions are small (24).…”

Section: A B C Dmentioning

confidence: 99%

Diagnosis of a Solid Pseudopapillary Neoplasm Using EUS-FNA

et al. 2013

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A woman in her 50s was found to have a pancreatic mass on abdominal ultrasound. The tumor measured 40 mm in diameter and included a cystic lesion and calcification. In this case, we suspected a diagnosis of solid pseudopapillary neoplasm (SPN) due to the findings observed on various images. However, we were unable to exclude the possibility that the lesion was a neuroendocrine tumor. Therefore, we performed endoscopic ultrasound (EUS)-guided fine-needle aspiration (EUS-FNA). In addition, in order to confirm the diagnosis of SPN, we performed minimized resection (segmental pancreatectomy). Obtaining a definitive preoperative diagnosis of SPN using EUS-FNA can guide the surgical approach.

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“…21,22 Duodenal perforation developed in 0.2% to 1% during endoscopic retrograde cholangiopancreatography (ERCP), 23,24 0.022% during diagnostic endoscopic ultrasonography (EUS), and 0.09% during EUS-fine needle aspiration. 25 Stapfer et al 26 proposed the classification of ERCP-related perforation as type 1: injury of lateral duodenal wall, type 2: injury at sphincter of Oddi, type 3: ductal injury, and type 4: retroperitoneal air alone. The proportion of ERCP-related perforation in each type were 34.5% in type 1, 31.3% in type 2, 23% in type 3, and 0.8% in type 4.…”

Section: 15mentioning

confidence: 99%

Endoscopic closure of iatrogenic perforation

Angsuwatcharakon

Rerknimitr

2016

Int J Gastrointest Interv

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A B S T R A C TIatrogenic perforation of the gastrointestinal (GI) tract is one of the serious complications in GI endoscopy. With the advancement in technique of GI endoscopy especially therapeutic endoscopy, the risk of perforation has increased. Prompt detection is the only way to avoid delay treatment and poor outcome. Recently, there are new instruments and techniques developed that can be reliably applied for an endoscopic closure without the need for surgery. Therefore, endoscopists should be familiar with these instruments as the result of successful endoscopic closure has lower rate of morbidity than surgery. In this review, the techniques of endoscopic closure are described according to the organs of perforation. In addition, the general knowledge and management of perforation in other aspects including tension pneumothorax, abdominal compartment syndrome, or infection induced by contamination of GI content are explained.

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Pancreatic Endoscopic Ultrasound-guided Fine Needle Aspiration: Complication rate and clinical course in a single centre

Cited by 75 publications

References 14 publications

An ‘omental patch’ created during over-the-scope clipping completely sealed a duodenal perforation after endoultrasonography

An ‘omental patch’ created during over-the-scope clipping completely sealed a duodenal perforation after endoultrasonography

Diagnosis of a Solid Pseudopapillary Neoplasm Using EUS-FNA

Endoscopic closure of iatrogenic perforation

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