Format

Send to

Choose Destination
Endosc Ultrasound. 2018 Mar 29. doi: 10.4103/eus.eus_112_17. [Epub ahead of print]

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

Author information

1
Endoscopy Unit, Paoli Calmettes Institute, Marseille, France.
2
Surgery Unit, Paoli Calmettes Institute, Marseille, France.
3
Statistics Unit, Paoli Calmettes Institute, Marseille, France.

Abstract

Background and Objectives:

Postoperative fluid collection due to pancreatic leak is the most frequent complication after pancreatic surgery. Endoscopic ultrasound (EUS)-guided drainage of post-pancreatic surgery fluid collection is the gold standard procedure; however, data on outcomes of this procedure are limited. The primary endpoint of our study was relapse over longterm followup, and the secondary endpoint was the efficiency and safety of EUS-guided drainage of post-pancreatic surgery fluid collection.

Patients and Methods:

This retrospective study was conducted at a single center from December 2008 to April 2016. Global morbidity was defined as the occurrence of an event involving additional endoscopic procedures, hospitalization, or interventional radiologic or surgical procedures. EUS-guided drainage was considered a clinical failure if surgery was required to treat a relapse after stent removal.

Results:

Fortyone patients were included. The technical success rate was 100%. Drainage was considered a clinical success in 93% (39/41) of cases. Additionally, 19 (46%) complications were identified as global morbidity. The duration between surgery and EUS-guided drainage was not a significantly related factor for morbidity rate (P = 0.8); however, bleeding due to arterial injuries (splenic artery and gastroduodenal artery) from salvage drainage procedures occurred within 25 days following the initial surgery. There was no difference in survival between patients with and without complications. No relapse was reported during the followup (median: 44.75 months; range: 29.24 to 65.74 months).

Conclusion:

EUSguided drainage for post-pancreatic surgery fluid collection was efficient with no relapse during longterm followup. Morbidity rate was independent of the duration between the initial surgery and EUS-guided drainage; however, bleeding risk was likely more important in cases of early drainage.

KEYWORDS:

Endoscopic ultrasound-guided drainage; post-pancreatectomy complications; postoperative fluid collection; therapeutic endoscopic ultrasound

PMID:
29600794
DOI:
10.4103/eus.eus_112_17
Free full text

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd
Loading ...
Support Center