EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses
EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses作者机构:Institute of Medicine Department of Internal Medicine Sahlgrenska Academy University of Gothenburg Institute of Medicine Department of Surgery Sahlgrenska Academy University of Gothenburg
出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))
年 卷 期:2011年第17卷第4期
页 面:499-505页
核心收录:
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金:Supported by The Health and Medical Care Executive Board of the Vstra Gtaland Region Sweden
主 题:Pancreas Endoscopic ultrasound Drainage Pseudocyst Abscess
摘 要:AIM: To compare the results for endoscopic ultrasound (EUS)-guided drainage of clear fluid pancreatic pseudocysts with the results for abscess drainage. METHODS: All patients referred for endoscopic drainage of a fluid collection were prospectively included. The outcome was recorded. RESULTS: Altogether 26 pseudocysts or abscesses were treated in 25 (6 female) patients. One endoscopist performed the procedures. Non-infected pseudocysts were present in 15 patients and 10 patients had infected fluid collections. The cyst size ranged between 28 cm × 13 cm and 5 cm × 5 cm. The EUS drainage was successful in 94% of the pseudocysts and in 80% of the abscesses (P = 0.04). The complication rate in pseudocysts was 6% and in abscesses was 30% (P = 0.02). Recurrence of a pseudocyst occurred in one patient (4%) after 6 mo; the patient was successfully retreated. CONCLUSION: EUS-guided drainage of pseudocysts is associated with a higher success rate and a lower complication rate compared with abscess drainage.