2017 Volume 91 Issue 1 Pages 81-84
Background : In recent years, pancreatic/peripancreatic fluid collection (PFC) has been performed by endoscopic ultrasound-guided cyst-drainage (EUS-CD) , sometimes followed by endoscopic necrosectomy (EN) , and good results have been obtained. Minimally invasive treatment by only endoscopic procedures has become possible even in patients who previously required open surgery.
Objective : To report the treatment outcomes of EUS-CD and EN performed in our hospital.
Results : EUS-CD was performed in 67 patients in our hospital from February 2000 through December 2016. EN was performed in 22 patients who initially showed no clinical improvement. Percutaneous drainage was additionally performed in 4 patients. Clinical improvement was obtained in all patients after EN. Short-term procedural complications of EUS-CD occurred in 7 patients (1.9%) and included bleeding in 4 patients, leakage in 1 patient, stent migration in 1 patient, and guidewire migration in 1 patient. EN was associated with bleeding in 3 patients. Air embolism and aspiration pneumonia did not occur as a complication of EN in any patient.
Conclusions : EUS-CD or EN is often performed in many hospitals in patients who undergo PFC, and a consensus is being obtained regarding the usefulness of these procedures. Although minimally invasive, these procedures can sometimes be life-threatening. Further studies of larger numbers of patients are needed to ensure that treatment can be performed safely.
