The Effectiveness and Feasibility of Endoscopic Ultrasound-guided Transgastric Drainage of Postoperative Fluid Collections Early After Pancreatic Surgery

• Published in: Surgical laparoscopy, endoscopy & percutaneous techniques Vol. 27; no. 4; p. 267
• Main Authors: Futagawa, Yasuro, Imazu, Hiroo, Mori, Naoki, Kanazawa, Keisuke, Chiba, Masafumi, Furukawa, Kenei, Sakamoto, Taro, Shiba, Hiroaki, Yanaga, Katsuhiko
• Format: Journal Article
• Language: English
• Published: United States 01.08.2017
• Subjects: Adult; Aged; Aged, 80 and over; Body Fluids; Drainage - methods; Endosonography - methods; Feasibility Studies; Female; Humans; Length of Stay - statistics & numerical data; Male; Middle Aged; Pancreatic Diseases - surgery; Pancreatic Fistula - etiology; Postoperative Care - methods; Postoperative Complications - etiology; Retrospective Studies; Time Factors; Treatment Outcome; Ultrasonography, Interventional - methods
• ISSN: 1534-4908
• DOI: 10.1097/SLE.0000000000000413

To assess the feasibility and usefulness of endoscopic ultrasound-guided transgastric drainage (EUS-GD) in patients who required early postoperative drainage of peripancreatic fluid collection or postoperative pancreatic fistulas after pancreatic surgery. Between May 2012 and January 2016, 33 patients who developed peripancreatic fluid collection or postoperative pancreatic fistulas after pancreatic resection underwent EUS-GD or percutaneous drainage (PTD). Outcomes were compared retrospectively. The drainage procedures were performed on postoperative day 4 to 71 (median, 12) in the EUS-GD group, and 7 to 35 (median, 14) in the PTD group. Technical and clinical success rates reached 92% (11/12) in the EUS-GD group, and 100% (21/21) in the PTD group with no complications or mortality. The duration of hospital stay after drainage was 10 to 44 (median, 15) days for EUS-GD, compared with 10 to 39 (median, 21) days for PTD. EUS-GD is a safe and useful method for early drainage, which could be a good alternative to PTD.