PMID- 28882615
OWN - NLM
STAT- MEDLINE
DCOM- 20180903
LR  - 20220311
IS  - 0210-5705 (Print)
IS  - 0210-5705 (Linking)
VI  - 41
IP  - 1
DP  - 2018 Jan
TI  - Fluoroscopy-assisted vs fluoroless endoscopic ultrasound-guided transmural 
      drainage of pancreatic fluid collections: A comparative study.
PG  - 12-21
LID - S0210-5705(17)30186-3 [pii]
LID - 10.1016/j.gastrohep.2017.07.008 [doi]
AB  - INTRODUCTION: The need for fluoroscopy guidance in patients undergoing endoscopic 
      ultrasound-guided transmural drainage (EUS-TMD) of peripancreatic fluid 
      collections (PFCs) remains unclear. AIMS: The aim of this study was to compare 
      general outcomes of EUS-TMD of PFCs under fluoroscopy (F) vs fluoroless (FL). 
      METHODS: This is a comparative study with a retrospective analysis of a 
      prospective and consecutive inclusion database at a tertiary centre, from 2009 to 
      2015. All patients were symptomatic pseudocyst (PSC) and walled-off pancreatic 
      necrosis (WON). Two groups were assigned depending on availability of 
      fluoroscopy. The groups were heterogeneous in terms of their demographic 
      characteristics, PFCs and procedure. The main outcome measures included technical 
      and clinical success, incidences, adverse events (AEs), and follow-up. RESULTS: 
      Fifty EUS-TMD of PFCs from 86 EUS-guided drainages were included during the study 
      period. Group F included 26 procedures, PSC 69.2%, WON 30.8%, metal stents 61.5% 
      (46.1% lumen-apposing stent) and plastic stents 38.5%. Group FL included 24 
      procedures, PSC 37.5%, WON 62.5%, and metal stents 95.8% (lumen-apposing stents). 
      Technical success was 100% in both groups, and clinical success was similar (F 
      88.5%, FL 87.5%). Technical incidences and intra-procedure AEs were only 
      described in group F (7.6% and 11.5%, respectively) and none in group FL. 
      Procedure time was less in group FL (8min, p=0.0341). CONCLUSIONS: Fluoroless in 
      the EUS-TMD of PFCs does not involve more technical incidences or intra-procedure 
      AEs. Technical and clinical success was similar in the two groups.
CI  - Copyright (c) 2017 Elsevier Espana, S.L.U. All rights reserved.
FAU - Consiglieri, Claudia F
AU  - Consiglieri CF
AD  - Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain.
FAU - Gornals, Joan B
AU  - Gornals JB
AD  - Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain; Universitat Oberta de Catalunya, 
      Hospital Universitari de Bellvitge-IDIBELL, Barcelona, Catalonia, Spain. 
      Electronic address: jgornals@bellvitgehospital.cat.
FAU - Busquets, Juli
AU  - Busquets J
AD  - General and Digestive Surgery Department, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain.
FAU - Pelaez, Nuria
AU  - Pelaez N
AD  - General and Digestive Surgery Department, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain.
FAU - Secanella, Lluis
AU  - Secanella L
AD  - General and Digestive Surgery Department, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain.
FAU - De-La-Hera, Meritxell
AU  - De-La-Hera M
AD  - Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain.
FAU - Sanzol, Resurreccion
AU  - Sanzol R
AD  - Anaesthesia Department, Hospital Universitari de Bellvitge-IDIBELL, Barcelona, 
      Catalonia, Spain.
FAU - Fabregat, Joan
AU  - Fabregat J
AD  - General and Digestive Surgery Department, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain.
FAU - Castellote, Jose
AU  - Castellote J
AD  - Hepatology Unit, Department of Digestive Diseases, Hospital Universitari de 
      Bellvitge-IDIBELL, Barcelona, Catalonia, Spain.
LA  - eng
LA  - spa
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
DEP - 20170905
PL  - Spain
TA  - Gastroenterol Hepatol
JT  - Gastroenterologia y hepatologia
JID - 8406671
SB  - IM
MH  - Adult
MH  - Aged
MH  - Body Fluids
MH  - Databases, Factual
MH  - Drainage/*methods
MH  - *Endosonography/adverse effects
MH  - Female
MH  - *Fluoroscopy/adverse effects
MH  - Humans
MH  - Intraoperative Complications/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Pancreatic Pseudocyst/*surgery
MH  - Pancreatitis, Acute Necrotizing/*surgery
MH  - *Radiology, Interventional
MH  - Retrospective Studies
MH  - Spain
MH  - Stents
MH  - Surgery, Computer-Assisted/adverse effects/*methods
MH  - Surgical Wound Infection/epidemiology
MH  - Treatment Outcome
MH  - *Ultrasonography, Interventional/adverse effects
OTO - NOTNLM
OT  - Acute necrotizing pancreatitis
OT  - Colecciones pancreaticas
OT  - Ecoendoscopia o ultrasonografia endoscopica
OT  - Endoscopic ultrasonography
OT  - Fluoroscopia
OT  - Fluoroscopy
OT  - Pancreatic fluid collection
OT  - Pancreatic pseudocyst
OT  - Pancreatitis aguda necrosante
OT  - Protesis metalicas autoexpandibles
OT  - Self-expandable metallic stent
OT  - Seudoquiste
EDAT- 2017/09/09 06:00
MHDA- 2018/09/04 06:00
CRDT- 2017/09/09 06:00
PHST- 2017/03/08 00:00 [received]
PHST- 2017/07/21 00:00 [revised]
PHST- 2017/07/25 00:00 [accepted]
PHST- 2017/09/09 06:00 [pubmed]
PHST- 2018/09/04 06:00 [medline]
PHST- 2017/09/09 06:00 [entrez]
AID - S0210-5705(17)30186-3 [pii]
AID - 10.1016/j.gastrohep.2017.07.008 [doi]
PST - ppublish
SO  - Gastroenterol Hepatol. 2018 Jan;41(1):12-21. doi: 
      10.1016/j.gastrohep.2017.07.008. Epub 2017 Sep 5.