Disconnected pancreatic duct syndrome and outcomes of endoscopic ultrasound‐guided treatment of pancreatic fluid collections: A systematic review and meta‐analysis

2021 ◽  
Author(s):  
Tsuyoshi Hamada ◽  
Takuji Iwashita ◽  
Tomotaka Saito ◽  
Hideyuki Shiomi ◽  
Mamoru Takenaka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Duct ◽  
Endoscopic Ultrasound ◽  
Meta Analysis ◽  
Ultrasound Guided ◽  
Pancreatic Fluid Collections ◽  
Pancreatic Fluid ◽  
Fluid Collections ◽  
Duct Syndrome

Impact of disconnected pancreatic duct syndrome on endoscopic ultrasound-guided drainage of pancreatic fluid collections

Endoscopy ◽  
2020 ◽  
Author(s):  
Lillian Wang ◽  
Sherif Elhanafi ◽  
Andrew C. Storm ◽  
Mark D. Topazian ◽  
Shounak Majumder ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Endoscopic Ultrasound ◽  
Clinical Success ◽  
Treatment Success ◽  
Pancreatic Fluid Collections ◽  
Stent Removal ◽  
Pancreatic Fluid ◽  
Fluid Collections ◽  
Walled Off Necrosis ◽  
Duct Syndrome

Abstract Background Endoscopic intervention for pancreatic fluid collections (PFCs) with disconnected pancreatic duct syndrome (DPDS) has been associated with failures and increased need for additional endoscopic and non-endoscopic interventions. The primary aim of this study was to determine the outcomes of endoscopic ultrasound (EUS)-guided transmural drainage of PFCs in patients with DPDS. Methods In patients undergoing EUS-guided drainage of PFCs from January 2013 to January 2018, demographic profiles, procedural indications and details, adverse events, outcomes, and subsequent interventions were retrospectively collected. Overall treatment success was determined by PFC resolution on follow-up imaging or stent removal without recurrence. Results EUS-guided drainage of PFCs was performed in 141 patients. DPDS was present in 57 of them (40 %) and walled-off necrosis was the most frequent type of PFC (55 %). DPDS was not associated with lower clinical success, increased number of repeat interventions, or increased time to PFC resolution. Patients with DPDS were more likely to be treated with permanent transmural plastic double-pigtail stents (odds ratio [OR] 6.4; 95 % confidence interval [CI] 2.5 – 16.5; P < 0.001). However, when stents were removed, DPDS was associated with increased PFC recurrence after stent removal (OR 8.0; 95 %CI 1.2 – 381.8; P = 0.04). Conclusions DPDS frequently occurs in patients with PFCs but does not negatively impact successful resolution. DPDS is associated with increased PFC recurrence after stent removal.

Managing adverse events after endoscopic ultrasound‐guided (EUS) drainage of the biliary tract and pancreatic fluid collections: a narrative review (with video)

2021 ◽  
Author(s):  
Mateus Pereira Funari ◽  
Igor Braga Ribeiro ◽  
Marcos Eduardo Lera dos Santos ◽  
Sergio Eiji Matuguma ◽  
Eduardo Guimarães Hourneaux de Moura
Keyword(s):  
Adverse Events ◽  
Biliary Tract ◽  
Endoscopic Ultrasound ◽  
Narrative Review ◽  
Ultrasound Guided ◽  
Pancreatic Fluid Collections ◽  
Pancreatic Fluid ◽  
Fluid Collections

scholarly journals A systematic review and meta-analysis of metal versus plastic stents for drainage of pancreatic fluid collections: metal stents are advantageous

2018 ◽  
Vol 33 (5) ◽  
pp. 1412-1425 ◽  
Author(s):  
Rebecca Saunders ◽  
Jayapal Ramesh ◽  
Silvia Cicconi ◽  
Jonathan Evans ◽  
Vincent S. Yip ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Plastic Stents ◽  
Metal Stents ◽  
Pancreatic Fluid Collections ◽  
Pancreatic Fluid ◽  
Fluid Collections
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