EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses.

Abstract:

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.

journal_name

World J Gastroenterol

authors

Sadik R,Kalaitzakis E,Thune A,Hansen J,Jönson C

doi

10.3748/wjg.v17.i4.499

subject

Has Abstract

pub_date

2011-01-28 00:00:00

pages

499-505

issue

4

eissn

1007-9327

issn

2219-2840

journal_volume

17

pub_type

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