Format

Send to

Choose Destination
Gastrointest Endosc. 2009 Oct;70(4):793-7. doi: 10.1016/j.gie.2009.05.023. Epub 2009 Jul 31.

EUS-guided transesophageal drainage of peripancreatic fluid collections.

Author information

1
Division of Gastroenterology-Hepatology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.

Abstract

BACKGROUND:

Although several large series have reported on EUS-guided transgastric and transduodenal drainage of peripancreatic fluid collections (PFCs), only commentary on individual cases has been presented on EUS-guided transesophageal drainage of PFCs.

OBJECTIVE:

To evaluate the technical success and safety of EUS-guided transesophageal drainage of PFCs.

DESIGN:

Observational study.

SETTING:

Tertiary academic referral center.

PATIENTS:

This study involved 3 consecutive patients referred for EUS-guided transesophageal drainage of PFCs over a 3-year period.

INTERVENTIONS:

The PFCs were accessed via the transesophageal route under EUS-guidance by using a 19-gauge needle. After a 0.035-inch guidewire was passed into the PFC, and the transmural tract was dilated to 6 mm, a transmural stent and/or drainage catheter was deployed.

MAIN OUTCOME MEASUREMENTS:

Evaluation of the technical and treatment success and safety profile of EUS-guided transesophageal drainage of PFCs.

RESULTS:

Three male patients (mean age 57.8 years [range 49-75 years]) underwent EUS-guided transesophageal drainage of PFCs (2 pseudocyst, 1 abscess) over a 3-year period. The etiology of the PFC was alcohol abuse in 2 patients and postsurgical in 1. The mean size of the PFCs was 7 cm (range 6-8 cm) in its largest dimension. The procedures were technically successful in all 3 patients, and no complications were encountered. All 3 patients had a successful treatment outcome. At a mean follow-up period of 24 months (range 12-36 months), all patients were doing well, without any evidence of PFC recurrence.

LIMITATION:

Small number of patients.

CONCLUSIONS:

In experienced hands, EUS-guided transesophageal drainage of PFCs is technically feasible and safe and is associated with favorable clinical outcomes. A long-term follow-up with larger numbers of patients is required to determine whether the procedure could be an effective alternative to surgical cyst-enterostomy or percutaneous drainage techniques.

PMID:
19647247
DOI:
10.1016/j.gie.2009.05.023
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center