4.6 Article

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

期刊

WORLD JOURNAL OF GASTROENTEROLOGY
卷 17, 期 4, 页码 499-505

出版社

BAISHIDENG PUBL GRP CO LTD
DOI: 10.3748/wjg.v17.i4.499

关键词

Pancreas; Endoscopic ultrasound; Drainage; Pseudocyst; Abscess

资金

  1. Health and Medical Care Executive Board of the Vastra Gotaland Region, Sweden

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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 x 13 cm and 5 cm x 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. (C) 2011 Baishideng. All rights reserved.

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