PMID- 25071899
OWN - NLM
STAT- MEDLINE
DCOM- 20150417
LR  - 20220330
IS  - 2005-1212 (Electronic)
IS  - 1976-2283 (Print)
IS  - 1976-2283 (Linking)
VI  - 8
IP  - 4
DP  - 2014 Jul
TI  - Endoscopic ultrasound-guided transluminal drainage for peripancreatic fluid 
      collections: where are we now?
PG  - 341-55
LID - 10.5009/gnl.2014.8.4.341 [doi]
AB  - Endoscopic drainage for pancreatic and peripancreatic fluid collections (PFCs) 
      has been increasingly used as a minimally invasive alternative to surgical or 
      percutaneous drainage. Recently, endoscopic ultrasound-guided transluminal 
      drainage (EUS-TD) has become the standard of care and a safe procedure for 
      nonsurgical PFC treatment. EUS-TD ensures a safe puncture, avoiding intervening 
      blood vessels. Single or multiple plastic stents (combined with a nasocystic 
      catheter) were used for the treatment of PFCs for EUS-TD. More recently, the use 
      of covered self-expandable metallic stents (CSEMSs) has provided a safer and more 
      efficient approach route for internal drainage. We focused our review on the best 
      approach and stent to use in endoscopic drainage for PFCs. We reviewed studies of 
      EUS-TD for PFCs based on the original Atlanta Classification, including case 
      reports, case series, and previous review articles. Data on clinical outcomes and 
      adverse events were collected retrospectively. A total of 93 patients underwent 
      EUS-TD of pancreatic pseudocysts using CSEMSs. The treatment success and adverse 
      event rates were 94.6% and 21.1%, respectively. The majority of complications 
      were of mild severity and resolved with conservative therapy. A total of 56 
      patients underwent EUS-TD using CSEMSs for pancreatic abscesses or infected 
      walled-off necroses. The treatment success and adverse event rates were 87.8% and 
      9.5%, respectively. EUS-TD can be performed safely and efficiently for PFC 
      treatment. Larger diameter CSEMSs without additional fistula tract dilation for 
      the passage of a standard scope are needed to access and drain for PFCs with 
      solid debris.
FAU - Kawakami, Hiroshi
AU  - Kawakami H
AD  - Department of Gastroenterology and Hepatology, Hokkaido University Graduate 
      School of Medicine, Sapporo, Japan.
FAU - Itoi, Takao
AU  - Itoi T
AD  - Department of Gastroentero logy and Hepatology, Tokyo Medical University, Tokyo, 
      Japan.
FAU - Sakamoto, Naoya
AU  - Sakamoto N
AD  - Department of Gastroenterology and Hepatology, Hokkaido University Graduate 
      School of Medicine, Sapporo, Japan.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20140701
PL  - Korea (South)
TA  - Gut Liver
JT  - Gut and liver
JID - 101316452
SB  - IM
MH  - Abdominal Abscess/surgery
MH  - Drainage/*methods
MH  - Endosonography/*methods
MH  - Humans
MH  - Necrosis/surgery
MH  - Pancreas/*pathology/surgery
MH  - Pancreatic Diseases/*surgery
MH  - Pancreatic Pseudocyst/surgery
MH  - *Stents
MH  - Surgery, Computer-Assisted/*methods
MH  - Ultrasonography, Interventional/methods
PMC - PMC4113054
OTO - NOTNLM
OT  - Endoscopic necrosectomy
OT  - Endoscopic ultrasound-guided drainage
OT  - Metal stent
OT  - Pancreatic pseudocyst
OT  - Walled-off necrosis
EDAT- 2014/07/30 06:00
MHDA- 2015/04/18 06:00
PMCR- 2014/07/01
CRDT- 2014/07/30 06:00
PHST- 2014/02/21 00:00 [received]
PHST- 2014/04/02 00:00 [accepted]
PHST- 2014/07/30 06:00 [entrez]
PHST- 2014/07/30 06:00 [pubmed]
PHST- 2015/04/18 06:00 [medline]
PHST- 2014/07/01 00:00 [pmc-release]
AID - gnl-8-341 [pii]
AID - 10.5009/gnl.2014.8.4.341 [doi]
PST - ppublish
SO  - Gut Liver. 2014 Jul;8(4):341-55. doi: 10.5009/gnl.2014.8.4.341. Epub 2014 Jul 1.