Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach
Abstract Background Endoscopic ultrasound-guided transmural drainage (EUS-TD) is widely performed to treat postoperative peripancreatic fluid collection (POPFC). Recent reports on EUS-TD lack a consensus on stent selection. This study aimed to assess the efficacy of EUS-TD for POPFC using an externa...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Gastroenterology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12876-025-03593-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544561267048448 |
|---|---|
| author | Jun Noda Yuichi Takano Naoki Tamai Masataka Yamawaki Tetsushi Azami Fumitaka Niiya Fumiya Nishimoto Masatsugu Nagahama |
| author_facet | Jun Noda Yuichi Takano Naoki Tamai Masataka Yamawaki Tetsushi Azami Fumitaka Niiya Fumiya Nishimoto Masatsugu Nagahama |
| author_sort | Jun Noda |
| collection | DOAJ |
| description | Abstract Background Endoscopic ultrasound-guided transmural drainage (EUS-TD) is widely performed to treat postoperative peripancreatic fluid collection (POPFC). Recent reports on EUS-TD lack a consensus on stent selection. This study aimed to assess the efficacy of EUS-TD for POPFC using an external drainage-based approach. Methods We retrospectively examined the medical records of patients with POPFC treated with EUS-TD using external drainage from October 2016 to July 2024. Technical success was defined as successful placement of the external drainage. Clinical success was defined as the reduction in fluid collection, as evidenced by follow-up computed tomography 1 week post-procedure. Results This study included 14 patients. The median duration from surgery to endoscopic treatment was 13 (range: 11–26) days. The median procedural time was 26 (range: 13–35) min. The technical success rate was 100%, and 6 Fr endoscopic nasocystic drainage was performed in all patients. The clinical success rate was 100%, and no adverse events were observed. One patient experienced self-removal and required repuncture. Conclusions EUS-TD for POPFC with an external drainage-based approach is safe and effective, with a short procedure time. However, this was a retrospective study with a small sample size, suggesting that future prospective studies are warranted. |
| format | Article |
| id | doaj-art-0ad2f2d2bf3e4b74951edd558a0f7504 |
| institution | Kabale University |
| issn | 1471-230X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj-art-0ad2f2d2bf3e4b74951edd558a0f75042025-01-12T12:26:06ZengBMCBMC Gastroenterology1471-230X2025-01-012511810.1186/s12876-025-03593-9Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approachJun Noda0Yuichi Takano1Naoki Tamai2Masataka Yamawaki3Tetsushi Azami4Fumitaka Niiya5Fumiya Nishimoto6Masatsugu Nagahama7Division of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka HospitalAbstract Background Endoscopic ultrasound-guided transmural drainage (EUS-TD) is widely performed to treat postoperative peripancreatic fluid collection (POPFC). Recent reports on EUS-TD lack a consensus on stent selection. This study aimed to assess the efficacy of EUS-TD for POPFC using an external drainage-based approach. Methods We retrospectively examined the medical records of patients with POPFC treated with EUS-TD using external drainage from October 2016 to July 2024. Technical success was defined as successful placement of the external drainage. Clinical success was defined as the reduction in fluid collection, as evidenced by follow-up computed tomography 1 week post-procedure. Results This study included 14 patients. The median duration from surgery to endoscopic treatment was 13 (range: 11–26) days. The median procedural time was 26 (range: 13–35) min. The technical success rate was 100%, and 6 Fr endoscopic nasocystic drainage was performed in all patients. The clinical success rate was 100%, and no adverse events were observed. One patient experienced self-removal and required repuncture. Conclusions EUS-TD for POPFC with an external drainage-based approach is safe and effective, with a short procedure time. However, this was a retrospective study with a small sample size, suggesting that future prospective studies are warranted.https://doi.org/10.1186/s12876-025-03593-9DrainageEndoscopic ultrasonographyPeripancreaticPostoperativeStent |
| spellingShingle | Jun Noda Yuichi Takano Naoki Tamai Masataka Yamawaki Tetsushi Azami Fumitaka Niiya Fumiya Nishimoto Masatsugu Nagahama Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach BMC Gastroenterology Drainage Endoscopic ultrasonography Peripancreatic Postoperative Stent |
| title | Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach |
| title_full | Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach |
| title_fullStr | Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach |
| title_full_unstemmed | Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach |
| title_short | Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach |
| title_sort | outcomes of endoscopic ultrasound guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage based approach |
| topic | Drainage Endoscopic ultrasonography Peripancreatic Postoperative Stent |
| url | https://doi.org/10.1186/s12876-025-03593-9 |
| work_keys_str_mv | AT junnoda outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach AT yuichitakano outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach AT naokitamai outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach AT masatakayamawaki outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach AT tetsushiazami outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach AT fumitakaniiya outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach AT fumiyanishimoto outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach AT masatsugunagahama outcomesofendoscopicultrasoundguidedtransmuraldrainageforpostoperativeperipancreaticfluidcollectionwithanexternaldrainagebasedapproach |