scholarly journals A Case of Endoscopic Ultrasound-guided Fistulogastrostomy with a Metallic Stent for Treating Postoperative Pancreatic Fistula

2015 ◽  
Vol 76 (5) ◽  
pp. 1182-1186
Author(s):  
Harutaka INOUE ◽  
Jun NAKAHODO ◽  
Akira IWAI ◽  
Takahiro SAWATSUBASHI ◽  
Naoki TERATANI ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Endoscopic Ultrasound ◽  
Postoperative Pancreatic Fistula ◽  
Metallic Stent ◽  
Ultrasound Guided

scholarly journals Contrast-enhanced harmonic endoscopic ultrasound-guided drainage of a postoperative pancreatic fistula

Endoscopy ◽  
2019 ◽  
Vol 52 (05) ◽  
pp. E174-E175
Author(s):  
Takashi Tamura ◽  
Masayuki Kitano ◽  
Manabu Kawai ◽  
Masahiro Itonaga ◽  
Ken-ichi Okada ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Endoscopic Ultrasound ◽  
Postoperative Pancreatic Fistula ◽  
Ultrasound Guided ◽  
Contrast Enhanced

scholarly journals Efficacy of Early Endoscopic Ultrasound-Guided Transluminal Drainage for Postoperative Pancreatic Fistula

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Nao Fujimori ◽  
Takashi Osoegawa ◽  
Akira Aso ◽  
Soichi Itaba ◽  
Yosuke Minoda ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Endoscopic Ultrasound ◽  
Disease Onset ◽  
Postoperative Pancreatic Fistula ◽  
University Hospital ◽  
Optimal Timing ◽  
Time Interval ◽  
Initial Operation ◽  
Ultrasound Guided ◽  
Patient Groups

Background. Endoscopic ultrasound-guided transluminal drainage (EUS-TD) is generally performed 4 weeks after disease onset for evacuating pancreatic fluid collections. However, the optimal timing for conducting the procedure in those diagnosed with postoperative pancreatic fistula (POPF) has not been established. We aimed to elucidate the efficacy and safety of early EUS-TD procedures for treating POPF. Methods. We retrospectively reviewed patients diagnosed with POPF who underwent EUS-TD in the Kyushu University Hospital between 2008 and 2019. Clinical features were comparatively analyzed between the two patient groups who underwent either early (≤15 days postoperatively) or late (>15 days postoperatively) EUS-TD. Factors prolonging hospital stay were also analyzed using Cox proportional hazard models. Results. Thirty patients (median age, 64.5 years) were enrolled. The most common initial operation was distal pancreatectomy with splenectomy (60.0%). Median size of POPF was 69.5 (range, 38–145) mm, and median time interval between surgery and EUS-TD was 17.5 (range, 3–232) days. Totally, 47% patients underwent early EUS-TD. Rates of technical success, clinical success, and complications were 100%, 97%, and 6.9%, respectively. No recurrence of POPF occurred during a median follow-up period of 14 months. Clinical characteristics and outcomes were comparable between the early and late drainage patient groups, except for the rates of infection and nonencapsulation of POPF, which were significantly higher in the early drainage group. Performing simultaneous internal and external drainage (hazard ratio (HR): 0.31; 95% confidence interval (CI): 0.11–0.93, p = 0.04 ) and conducting ≥2 treatment sessions (HR: 0.26; 95% CI: 0.08–0.84, p = 0.02 ) were significantly associated with prolonged hospitalization after EUS-TD. Conclusions. EUS-TD is a safe and effective method for managing POPF, regardless of when it is performed in the postoperative period. Once infected POPF occurs, clinicians should not hesitate to perform EUS-TD even within 15 days of the initial operation.

scholarly journals Effective Endoscopic Ultrasound-Guided Transgastric Drainage in a Case of Subcutaneous Intractable Postoperative Pancreatic Fistula

2012 ◽  
Vol 45 (2) ◽  
pp. 197-202
Author(s):  
Kazuyuki Yamamoto ◽  
Satoshi Hirano ◽  
Eiichi Tanaka ◽  
Shotaro Hurukawa ◽  
Yuya Nasu ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Endoscopic Ultrasound ◽  
Postoperative Pancreatic Fistula ◽  
Ultrasound Guided

scholarly journals A Case of Intra-abdominal Abcess following a Pancreatic Fistula after Gastrectomy Treated with Endoscopic Ultrasound-guided Transgastric Drainage

2020 ◽  
Vol 81 (6) ◽  
pp. 1097-1103
Author(s):  
Kenichi ISHIBAYASHI ◽  
Toshikatsu TSUJI ◽  
Daisuke YAMAMOTO ◽  
Hirotaka KITAMURA ◽  
Shinichi KADOYA ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Endoscopic Ultrasound ◽  
Ultrasound Guided

Clinical Outcome of Endoscopic Ultrasound-Guided Liver Abscess Drainage Using Self-Expandable Covered Metallic Stent (with Video)

2015 ◽  
Vol 61 (1) ◽  
pp. 303-308 ◽  
Author(s):  
Takeshi Ogura ◽  
Daisuke Masuda ◽  
Onda Saori ◽  
Takagi Wataru ◽  
Tatsushi Sano ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Liver Abscess ◽  
Endoscopic Ultrasound ◽  
Metallic Stent ◽  
Ultrasound Guided ◽  
Abscess Drainage ◽  
Covered Metallic Stent
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