Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery
Abstract Objectives Postoperative pancreatic fistula (POPF) is a major cause of morbidity after pancreatic surgery. Recently, endoscopic ultrasound‐guided transmural drainage (EUS‐TD) has been widely used to manage pancreatic pseudocysts after acute pancreatitis. Several studies have reported the ef...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-04-01
|
| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.270 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849397715940671488 |
|---|---|
| author | Ryoichi Miyamoto Amane Takahashi Toshiro Ogura Kei Kitamura Hiroyuki Ishida Shinichi Matsudaira Yuko Suzuki Satoshi Shimizu Yoshiyuki Kawashima |
| author_facet | Ryoichi Miyamoto Amane Takahashi Toshiro Ogura Kei Kitamura Hiroyuki Ishida Shinichi Matsudaira Yuko Suzuki Satoshi Shimizu Yoshiyuki Kawashima |
| author_sort | Ryoichi Miyamoto |
| collection | DOAJ |
| description | Abstract Objectives Postoperative pancreatic fistula (POPF) is a major cause of morbidity after pancreatic surgery. Recently, endoscopic ultrasound‐guided transmural drainage (EUS‐TD) has been widely used to manage pancreatic pseudocysts after acute pancreatitis. Several studies have reported the effectiveness of EUS‐TD for POPF, although there is insufficient evidence regarding the performance of EUS‐TD for POPF. We herein report on the safety, efficacy, and appropriate timing of EUS‐TD for POPF compared with conventional percutaneous intervention. Methods Eight patients who underwent EUS‐TD of POPF and 36 patients who underwent percutaneous intervention were retrospectively enrolled. Clinical outcomes, including technical success, clinical success, and complications, were analyzed among the two groups. Results In terms of clinical outcomes between the EUS‐TD and percutaneous intervention groups, significant differences were observed in the number of interventions (1 vs. 4, p = 0.011), period of clinical success (6 days vs. 11 days, p = 0.001), incidence of complications (0 vs. 3, p = 0.021), postoperative hospital stays (27 days vs. 34 days, p = 0.027), and recurrence of POPF (0 vs. 5, p = 0.001). Conclusions EUS‐TD for POPF appears to be safe and technically feasible. This approach should be considered a therapeutic option in patients with POPF after pancreatic surgery. |
| format | Article |
| id | doaj-art-78787e687f8d44a79e68b774eabc6884 |
| institution | Kabale University |
| issn | 2692-4609 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-78787e687f8d44a79e68b774eabc68842025-08-20T03:38:54ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.270Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgeryRyoichi Miyamoto0Amane Takahashi1Toshiro Ogura2Kei Kitamura3Hiroyuki Ishida4Shinichi Matsudaira5Yuko Suzuki6Satoshi Shimizu7Yoshiyuki Kawashima8Department of Gastroenterological Surgery Saitama Cancer Center SaitamaJapanDepartment of Gastroenterological Surgery Saitama Cancer Center SaitamaJapanDepartment of Gastroenterological Surgery Saitama Cancer Center SaitamaJapanDepartment of Gastroenterological Surgery Saitama Cancer Center SaitamaJapanDepartment of Gastroenterological Surgery Saitama Cancer Center SaitamaJapanDepartment of Gastroenterological Surgery Saitama Cancer Center SaitamaJapanDepartment of Gastroenterology Saitama Cancer Center SaitamaJapanDepartment of Gastroenterology Saitama Cancer Center SaitamaJapanDepartment of Gastroenterological Surgery Saitama Cancer Center SaitamaJapanAbstract Objectives Postoperative pancreatic fistula (POPF) is a major cause of morbidity after pancreatic surgery. Recently, endoscopic ultrasound‐guided transmural drainage (EUS‐TD) has been widely used to manage pancreatic pseudocysts after acute pancreatitis. Several studies have reported the effectiveness of EUS‐TD for POPF, although there is insufficient evidence regarding the performance of EUS‐TD for POPF. We herein report on the safety, efficacy, and appropriate timing of EUS‐TD for POPF compared with conventional percutaneous intervention. Methods Eight patients who underwent EUS‐TD of POPF and 36 patients who underwent percutaneous intervention were retrospectively enrolled. Clinical outcomes, including technical success, clinical success, and complications, were analyzed among the two groups. Results In terms of clinical outcomes between the EUS‐TD and percutaneous intervention groups, significant differences were observed in the number of interventions (1 vs. 4, p = 0.011), period of clinical success (6 days vs. 11 days, p = 0.001), incidence of complications (0 vs. 3, p = 0.021), postoperative hospital stays (27 days vs. 34 days, p = 0.027), and recurrence of POPF (0 vs. 5, p = 0.001). Conclusions EUS‐TD for POPF appears to be safe and technically feasible. This approach should be considered a therapeutic option in patients with POPF after pancreatic surgery.https://doi.org/10.1002/deo2.270EUS‐guided drainagepancreatic fistulapancreatic fluid collectionspancreatic surgeryPOPF |
| spellingShingle | Ryoichi Miyamoto Amane Takahashi Toshiro Ogura Kei Kitamura Hiroyuki Ishida Shinichi Matsudaira Yuko Suzuki Satoshi Shimizu Yoshiyuki Kawashima Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery DEN Open EUS‐guided drainage pancreatic fistula pancreatic fluid collections pancreatic surgery POPF |
| title | Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery |
| title_full | Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery |
| title_fullStr | Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery |
| title_full_unstemmed | Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery |
| title_short | Impact of endoscopic ultrasound‐guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery |
| title_sort | impact of endoscopic ultrasound guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery |
| topic | EUS‐guided drainage pancreatic fistula pancreatic fluid collections pancreatic surgery POPF |
| url | https://doi.org/10.1002/deo2.270 |
| work_keys_str_mv | AT ryoichimiyamoto impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT amanetakahashi impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT toshiroogura impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT keikitamura impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT hiroyukiishida impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT shinichimatsudaira impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT yukosuzuki impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT satoshishimizu impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery AT yoshiyukikawashima impactofendoscopicultrasoundguidedtransmuraldrainageforpostoperativepancreaticfistulaafterpancreaticsurgery |