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- Could Transgastric Endoscopic Ultrasound-Guided Aspiration Alone Be Effective for the Treatment of Pancreatic Abscesses?
- Hoon-Gil Jo, Baatarnum Amarbat, Jin-Woo Jeong, Hyo-Yeop Song, Seung-Ryel Song, Tae-Hyeon Kim
- Clin Endosc 2015;48(4):345-347. Published online July 24, 2015
- DOI: https://doi.org/10.5946/ce.2015.48.4.345
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Abstract
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ePub Drainage of pancreatic abscesses is required for effective control of sepsis. Endoscopic ultrasound (EUS)-guided endoscopic drainage is less invasive than surgery and prevents local complications related to percutaneous drainage. Endoscopic drainage with stent placement in the uncinate process of the pancreas is a technically difficult procedure. We report a case of pancreatic abscess treated by repeated EUS-guided aspiration and intravenous antibiotics without an indwelling drainage catheter or surgical intervention.
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Citations
Citations to this article as recorded by
- 7,688 View
- 71 Download
- 1 Web of Science
- 2 Crossref
Special Issue Article of IDEN 2013
- Metal versus Plastic Stent for Transmural Drainage of Pancreatic Fluid Collections
- Ji Young Bang, Shyam Varadarajulu
- Clin Endosc 2013;46(5):500-502. Published online September 30, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.5.500
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Abstract
PDFPubReaderePub
The conventional management of pancreatic fluid collections (PFCs) involves surgery or percutaneous drainage. While surgery is associated with significant complications and mortality, percutaneous drainage is associated with prolonged hospitalization and oftentimes the need for other adjunctive treatment measures. Therefore, the use of endoscopy to drain PFCs is becoming increasingly popular. Randomized trials have demonstrated that endoscopic ultrasound-guided drainage is superior to conventional endoscopy in terms of technical success and potentially decreases the rates of procedural complications. While transmural drainage is usually undertaken by deployment of plastic endoprosthesis, of late, fully covered self-expandable metal stents are being placed with increasing frequency. However, the benefits of this approach are unclear and require further validation in prospective trials.
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Citations
Citations to this article as recorded by- Consensus guidelines on the diagnosis and treatment of pancreatic pseudocyst and walled-off necrosis from a Chinese multiple disciplinary team expert panel
Huiyun Zhu, Yiqi Du, Kaixuan Wang, Zhaoshen Li, Zhendong Jin
Endoscopic Ultrasound.2024; 13(4): 205. CrossRef - Controversies in EUS-guided treatment of walled-off necrosis
Michael Hocke, Sean Burmeister, Barbara Braden, Christian Jenssen, Paolo Giorgio Arcidiacono, Julio Iglesias-Garcia, André Ignee, Alberto Larghi, Kathleen Möller, Mihai Rimbas, Sun Siyu, Giuseppe Vanella, Christoph F. Dietrich
Endoscopic Ultrasound.2022; 11(6): 442. CrossRef - Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
Chan Park, Tae Hyeon Kim, Hyung Ku Chon
Clinical Endoscopy.2021; 54(5): 763. CrossRef - Management of infected post-pancreatic resection fluid collections under endoscopic ultrasound guidance using lumen apposing metal stent: A case series and review of the literature
Puneet Chhabra, Ben Maher, Dharmadev Trivedi, Dimitrios Karavias, Ali Arshad, Mark Wright, Nadeem Tehami
Annals of Hepato-Biliary-Pancreatic Surgery.2021; 25(4): 500. CrossRef - A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst
Yao Yao, Dingguo Zhang, Jiefang Guo, Ke Qi, Feng Li, Jianwei Zhu, Dong Wang, Jie Chen, Can Xu, Luowei Wang, Kaixuan Wang, Zhendong Jin, Zhaoshen Li
Medicine.2019; 98(3): e14179. CrossRef - EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates
Gabriel D. Lang, Cassandra Fritz, Trisha Bhat, Koushik K. Das, Faris M. Murad, Dayna S. Early, Steven A. Edmundowicz, Vladimir M. Kushnir, Daniel K. Mullady
Gastrointestinal Endoscopy.2018; 87(1): 150. CrossRef - Metal versus plastic stents for drainage of pancreatic fluid collection: A meta‐analysis
Seung Bae Yoon, In Seok Lee, Myung-Gyu Choi
United European Gastroenterology Journal.2018; 6(5): 729. CrossRef - Interventional EUS (with videos)
John T. Maple, Rahul Pannala, Barham K. Abu Dayyeh, Harry R. Aslanian, Brintha K. Enestvedt, Adam Goodman, Sri Komanduri, Michael Manfredi, Udayakumar Navaneethan, Mansour A. Parsi, Zachary L. Smith, Nirav Thosani, Shelby A. Sullivan, Subhas Banerjee
Gastrointestinal Endoscopy.2017; 85(3): 465. CrossRef - The role of endoscopic intervention in the management of inflammatory pancreatic fluid collections
Vikrant Parihar, Paul F. Ridgway, Kevin C. Conlon, Matthew Huggett, Barbara M. Ryan
European Journal of Gastroenterology & Hepatology.2017; 29(4): 371. CrossRef - Pancreatic Pseudocyst Dilemma: Cumulative Multicenter Experience in Management Using Endoscopy, Laparoscopy, and Open Surgery
Alaa A. Redwan, Mostafa A. Hamad, Mohammed A. Omar
Journal of Laparoendoscopic & Advanced Surgical Techniques.2017; 27(10): 1022. CrossRef - Efficacy and safety of metallic stents in comparison to plastic stents for endoscopic drainage of peripancreatic fluid collections: a meta-analysis and trial sequential analysis
Rajesh Panwar, Preet Mohinder Singh
Clinical Journal of Gastroenterology.2017; 10(5): 403. CrossRef - Endosonographic drainage of pancreatic fluid collections and walled-off necrosis
Ahmed Akhter, Mark E. Benson, Deepak V. Gopal
Techniques in Gastrointestinal Endoscopy.2017; 19(4): 190. CrossRef - Endoscópic Peri Pancreatic Fluid Collection Drainage Guided by USE in a Highly Complex Hospital in Lima, Peru. A First National Case Series
Augusto Vera Calderón
Gastroenterology & Hepatology: Open Access.2017;[Epub] CrossRef - Endoscopic necrosectomy of walled-off pancreatic necrosis using a lumen-apposing metal stent and irrigation technique
Joan B. Gornals, Claudia F. Consiglieri, Juli Busquets, Silvia Salord, Meritxell de-la-Hera, Lluis Secanella, Susana Redondo, Nuria Pelaez, Joan Fabregat
Surgical Endoscopy.2016; 30(6): 2592. CrossRef - The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections
V. Raman Muthusamy, Vinay Chandrasekhara, Ruben D. Acosta, David H. Bruining, Krishnavel V. Chathadi, Mohamad A. Eloubeidi, Ashley L. Faulx, Lisa Fonkalsrud, Suryakanth R. Gurudu, Mouen A. Khashab, Shivangi Kothari, Jenifer R. Lightdale, Shabana F. Pasha,
Gastrointestinal Endoscopy.2016; 83(3): 481. CrossRef - Evaluation of the short- and long-term effectiveness and safety of fully covered self-expandable metal stents for drainage of pancreatic fluid collections: results of a Spanish nationwide registry
Enrique Vazquez-Sequeiros, Todd H. Baron, Manuel Pérez-Miranda, Andres Sánchez-Yagüe, Joan Gornals, Ferran Gonzalez-Huix, Carlos de la Serna, Juan Angel Gonzalez Martin, Antonio Z. Gimeno-Garcia, Carlos Marra-Lopez, Ana Castellot, Fernando Alberca, Ignaci
Gastrointestinal Endoscopy.2016; 84(3): 450. CrossRef - Case report of EUS-guided endoscopic transduodenal necrosectomy in a patient with sleeve gastrectomy
Avik Sarkar, Ragui Sadek, Matthew Lissauer, Swati Pawa
BMC Obesity.2016;[Epub] CrossRef - Metal versus plastic for pancreatic pseudocyst drainage: clinical outcomes and success
Reem Z. Sharaiha, Ersilia M. DeFilippis, Prashant Kedia, Monica Gaidhane, Christine Boumitri, Huei-Wen Lim, Eugene Han, Harkarit Singh, Saad S. Ghumman, Thomas Kowalski, David Loren, Michel Kahaleh, Ali Siddiqui
Gastrointestinal Endoscopy.2015; 82(5): 822. CrossRef - Management of pancreatic collections with a novel endoscopically placed fully covered self-expandable metal stent: a national experience (with videos)
Sujievvan Chandran, Marios Efthymiou, Arthur Kaffes, John Wei Chen, Vu Kwan, Michael Murray, David Williams, Nam Quoc Nguyen, William Tam, Christine Welch, Andre Chong, Saurabh Gupta, Ben Devereaux, Peter Tagkalidis, Frank Parker, Rhys Vaughan
Gastrointestinal Endoscopy.2015; 81(1): 127. CrossRef - Endoscopic Drainage of Pseudocysts
Tae Jun Song, Sang Soo Lee
Clinical Endoscopy.2014; 47(3): 222. CrossRef - The role of therapeutic endoscopic ultrasound now and for the future
Vinay Dhir, Rajesh Kumar Paramasivam, Josef Carlo Lazaro, Amit Maydeo
Expert Review of Gastroenterology & Hepatology.2014; 8(7): 775. CrossRef
- Consensus guidelines on the diagnosis and treatment of pancreatic pseudocyst and walled-off necrosis from a Chinese multiple disciplinary team expert panel
- 8,755 View
- 74 Download
- 21 Crossref
- Endoscopic Drainage Through a Duodenal Fistula in a Patient with a Retroperitoneal Abscess that Developed after Acute Pancreatitis
- Hyun Jung Chung, M.D., Seok Jeong, M.D., Don Haeng Lee, M.D., Byoung Do Park, M.D., Yoon Ah Choi, M.D., Hyung Gil Kim, M.D., Yong Woon Shin, M.D. and Young Soo Kim, M.D.
- Korean J Gastrointest Endosc 2009;38(2):116-119. Published online February 27, 2009
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Abstract
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- The incidence of retroperitoneal abscess with fistula formation after acute pancreatitis is rare, but the mortality rate for patients with this condition is very high. The standard treatment for this condition has been surgical removal and drainage. However, recent studies have shown that percutaneous catheter drainage or noninvasive endoscopic abscess drainage with using endoscopic ultrasonography is effective and safe for the treatment of pancreatic and peripancreatic abscess. A retroperitoneal abscess with duodenal fistula that developed after acute pancreas and its endoscopic treatment has never been reported on in Korea. We experienced a 45-year-old man who had been treated for acute pancreatitis at other hospital, and he was then referred to our hospital and diagnosed as having a retroperitoneal abscess with fistula, which communicated with the third portion of duodenum, as assessed by abdominal CT and duodenoscopy. So we treated him with endoscopic double-pigtailed stent insertion through the fistulous tract and we drained the abscess. Endoscopic drainage may be a suitable alternative for the management of the retroperitoneal abscess with fistula that develops after acute pancreatitis. (Korean J Gastrointest Endosc 2009;38:116-120)
- 2,366 View
- 14 Download
- 췌장 가성낭에 대한 내시경적 낭종배액술
- Korean J Gastrointest Endosc 2003;27(5):420-420. Published online November 20, 2003
- 1,906 View
- 8 Download
- 17세 여자, 상복부 동통 및 열감
- Korean J Gastrointest Endosc 2000;20(5):375-376. Published online November 30, 1999
- 1,719 View
- 2 Download
- 인터페론에 의한 급성췌장염에 합병된 다발성 췌장농양 1예 ( A Case of Pancreatic Abscesses Complicating Acute Pancreatitis Associated with Interferon Therapy )
- Korean J Gastrointest Endosc 2000;20(1):77-82. Published online November 30, 1999
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- A patient experienced a silent gallstone accompanied by acute severe pancreatitis during interferon theraphy for renal cell carcinoma. Although the gallstone was highly suspected to be the cause of the pancreatits, there were no duodenoscopic or endoscopic retrograde cholangiopancreatographic findings suggesting gallstone pancreatitis such as papillitis, impacted papillary and common bile duct stones, and/or a wider cystic or pancreatic duct, respectively. It is believed that the acute pancreatitis in the presenting case was probably caused by interferon because 1) sludge nor biliary crystal was not detected by light microscopic examination, 2) no tumors, anomalies, nor any obstructing ductal lesions in the pancreas were found, 3) this patient had no other potential causes of acute pancreatitis, and 4) there was no use of potential drugs which could be responsible for the acute pancreatitis other than interferon. In addition, trials of endoscopic drainage of complicated pancreatic abscesses were discussed. (Korean J Gastrointest Endosc 2000;20:77~82)
- 2,059 View
- 5 Download
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