PMID- 38017158
OWN - NLM
STAT- MEDLINE
DCOM- 20240111
LR  - 20240131
IS  - 1432-2218 (Electronic)
IS  - 0930-2794 (Print)
IS  - 0930-2794 (Linking)
VI  - 38
IP  - 1
DP  - 2024 Jan
TI  - Early versus delayed EUS-guided drainage for postoperative pancreatic fluid 
      collections: a systematic review and meta-analysis.
PG  - 47-55
LID - 10.1007/s00464-023-10568-y [doi]
AB  - BACKGROUND: Postoperative pancreatic fluid collections (POPFCs) are common 
      adverse events (AEs) after pancreatic surgery and may need interventions. 
      Endoscopic ultrasound (EUS)-guided drainage for POPFCs is increasingly reported, 
      but its appropriate timing has not been fully elucidated. The aim of this 
      meta-analysis was to evaluate treatment outcomes of POPFCs according to the 
      timing of EUS-guided drainage. METHODS: Using PubMed, Embase, Web of Science, and 
      the Cochrane database, we identified clinical studies published until December 
      2022 with data comparing outcomes of early and delayed EUS-guided drainage for 
      POPFCs. We pooled data on AEs, mortality, and technical and clinical success 
      rates, using the random-effects model. RESULTS: From 1415 papers identified in 
      the initial literature search, we identified 6 retrospective studies, including 
      128 and 107 patients undergoing early and delayed EUS-guided drainage for POPFCs. 
      The threshold of early and delayed drainage ranged from 14 to 30 days. Distal 
      pancreatectomy was the major cause of POPFCs, ranging from 44 to 100%. The pooled 
      odds ratio (OR) for AEs was 0.81 (95% confidence interval [CI] 0.40-1.64, 
      P = 0.55) comparing early to delayed drainage. There was no procedure-related 
      mortality. Technical success was achieved in all cases and a pooled OR of 
      clinical success was 0.60 (95% CI 0.20-1.83, P = 0.37). CONCLUSION: POPFCs can be 
      managed by early EUS-guided drainage without an increase in AEs.
CI  - (c) 2023. The Author(s).
FAU - Mukai, Tsuyoshi
AU  - Mukai T
AD  - Department of Gastroenterological Endoscopy, Kanazawa Medical University, 1-1 
      Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, Japan. tsuyomukai@yahoo.co.jp.
FAU - Nakai, Yousuke
AU  - Nakai Y
AUID- ORCID: 0000-0001-7411-1385
AD  - Department of Gastroenterology, Graduate School of Medicine, The University of 
      Tokyo, Tokyo, Japan. ynakai-tky@umin.ac.jp.
AD  - Department of Endoscopy and Endoscopic Surgery, The University of Tokyo Hospital, 
      7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan. ynakai-tky@umin.ac.jp.
FAU - Hamada, Tsuyoshi
AU  - Hamada T
AD  - Department of Gastroenterology, Graduate School of Medicine, The University of 
      Tokyo, Tokyo, Japan.
AD  - Department of Hepato-Biliary-Pancreatic Medicine, The Cancer Institute Hospital 
      of Japanese Foundation for Cancer Research, Tokyo, Japan.
FAU - Matsubara, Saburo
AU  - Matsubara S
AD  - Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama 
      Medical University, Saitama, Japan.
FAU - Sasaki, Takashi
AU  - Sasaki T
AD  - Department of Hepato-Biliary-Pancreatic Medicine, The Cancer Institute Hospital 
      of Japanese Foundation for Cancer Research, Tokyo, Japan.
FAU - Ishiwatari, Hirotoshi
AU  - Ishiwatari H
AD  - Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan.
FAU - Hijioka, Susumu
AU  - Hijioka S
AD  - Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center 
      Japan, Tokyo, Japan.
FAU - Shiomi, Hideyuki
AU  - Shiomi H
AD  - Division of Gastroenterology and Hepatobiliary and Pancreatic Diseases, 
      Department of Internal Medicine, Hyogo Medical University, Hyogo, Japan.
FAU - Takenaka, Mamoru
AU  - Takenaka M
AD  - Department of Gastroenterology and Hepatology, Faculty of Medicine, Kindai 
      University, Osaka, Japan.
FAU - Iwashita, Takuji
AU  - Iwashita T
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan.
FAU - Masuda, Atsuhiro
AU  - Masuda A
AD  - Division of Gastroenterology, Department of Internal Medicine, Kobe University 
      Graduate School of Medicine, Hyogo, Japan.
FAU - Saito, Tomotaka
AU  - Saito T
AD  - Department of Gastroenterology, Graduate School of Medicine, The University of 
      Tokyo, Tokyo, Japan.
FAU - Isayama, Hiroyuki
AU  - Isayama H
AD  - Department of Gastroenterology, Graduate School of Medicine, Juntendo University, 
      Tokyo, Japan.
FAU - Yasuda, Ichiro
AU  - Yasuda I
AD  - Third Department of Internal Medicine, University of Toyama, Toyama, Japan.
CN  - WONDERFUL Study Group in Japan
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20231128
PL  - Germany
TA  - Surg Endosc
JT  - Surgical endoscopy
JID - 8806653
SB  - IM
MH  - Humans
MH  - Retrospective Studies
MH  - *Endosonography
MH  - *Pancreatic Diseases
MH  - Pancreatectomy
MH  - Drainage
MH  - Ultrasonography, Interventional
MH  - Treatment Outcome
PMC - PMC10776699
OTO - NOTNLM
OT  - Drainage
OT  - Endoscopic ultrasound
OT  - Fluid collection
OT  - Postoperative pancreatic fistula
COIS- Yousuke Nakai received research grants from Boston Scientific Japan and HOYA 
      Corporation and honoraria from Boston Scientific Japan, Fujifilm Corporation, and 
      Olympus Corporation. Hiroyuki Isayama received research grants from Boston 
      Scientific Japan, Fujifilm Corporation, Fujifilm Health Care Corporation, 
      Gadelius Medical KK, and Zeon Medical Inc. and honoraria from Boston Scientific 
      Japan, Fujifilm Corporation, Taewoong Medical Devices, Olympus Corporation, 
      Century Medical, Inc., and Cook Medical Japan G.K. Yasuda Ichiro received 
      honoraria from Gadelius Medical KK and Medicos Hirata. Other authors had no 
      conflict of interest to disclose. Tsuyoshi Mukai Tsuyoshi Hamada, Saburo 
      Matsubara, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, 
      Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, and Tomotaka Saito had nothing 
      to disclose.
FIR - Sato, Tatsuya
IR  - Sato T
FIR - Nakagawa, Keito
IR  - Nakagawa K
FIR - Suda, Kentaro
IR  - Suda K
FIR - Nakano, Ryota
IR  - Nakano R
FIR - Ota, Shogo
IR  - Ota S
FIR - Takeshita, Kotaro
IR  - Takeshita K
FIR - Omoto, Shunsuke
IR  - Omoto S
FIR - Akihiko, Senju
IR  - Akihiko S
FIR - Tezuka, Ryuichi
IR  - Tezuka R
FIR - Uemura, Shinya
IR  - Uemura S
FIR - Tsujimae, Masahiro
IR  - Tsujimae M
FIR - Sakai, Arata
IR  - Sakai A
FIR - Okuno, Mitsuru
IR  - Okuno M
FIR - Iwasa, Yuhei
IR  - Iwasa Y
FIR - Iwata, Keisuke
IR  - Iwata K
FIR - Yoshida, Kensaku
IR  - Yoshida K
FIR - Maruta, Akinori
IR  - Maruta A
FIR - Fujisawa, Toshio
IR  - Fujisawa T
FIR - Takahashi, Sho
IR  - Takahashi S
FIR - Hayashi, Nobuhiko
IR  - Hayashi N
EDAT- 2023/11/29 00:42
MHDA- 2024/01/11 07:43
PMCR- 2023/11/28
CRDT- 2023/11/28 23:42
PHST- 2023/07/22 00:00 [received]
PHST- 2023/10/23 00:00 [accepted]
PHST- 2024/01/11 07:43 [medline]
PHST- 2023/11/29 00:42 [pubmed]
PHST- 2023/11/28 23:42 [entrez]
PHST- 2023/11/28 00:00 [pmc-release]
AID - 10.1007/s00464-023-10568-y [pii]
AID - 10568 [pii]
AID - 10.1007/s00464-023-10568-y [doi]
PST - ppublish
SO  - Surg Endosc. 2024 Jan;38(1):47-55. doi: 10.1007/s00464-023-10568-y. Epub 2023 Nov 
      28.