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EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses 被引量：12

EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses
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摘要 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 × 13 cm and 5 cm × 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. 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 × 13 cm and 5 cm × 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.
作者 Riadh Sadik Evangelos Kalaitzakis Anders Thune Jan Hansen Claes Jnson
机构地区 Institute of Medicine Institute of Medicine
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第4期499-505,共7页 世界胃肠病学杂志（英文版）
基金 Supported by The Health and Medical Care Executive Board of the Vstra Gtaland Region, Sweden
关键词 假性 囊肿 脓肿 引流 引导 胰腺 发生率 并发症 Pancreas Endoscopic ultrasound Drainage Pseudocyst Abscess
分类号 R657.5 [医药卫生—外科学]
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参考文献17

  • 1Yusuf TE, Baron TH. Endoscopic transmural drainage of pancreatic pseudocysts: results of a national and an international survey of ASGE members. Gastrointest Endosc 2006; 63: 223-227.
  • 2Monkemuller KE, Baron TH, Morgan DE. Transmural drainage of pancreatic fluid collections without electrocautery using the Seldinger technique. Gastrointest Endosc 1998; 48: 195-200.
  • 3Kalaitzakis E, Panos M, Sadik R, Aabakken L, Koumi A, Meenan J. Clinicians' attitudes towards endoscopic ultrasound: a survey of four European countries. Scand J Gastroenterol 2009; 44:100-107.
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引证文献12

二级引证文献45

World Journal of Gastroenterology
2011年 第4期

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