Efficacy and safety of endoscopic drainage of peripancreatic fluid collections: a retrospective multicenter European study

Autor: Paraskevas, Gkolfakis, Maria, Chiara Petrone, Mario, Tadic, Georgios, Tziatzios, Ioannis, Karoumpalis, Stefano Francesco, Crinò, Antonio, Facciorusso, Istvan, Hritz, Dimitrios, Kypraios, Athanasios D, Sioulas, Ilias, Scotiniotis, Antonios, Vezakis, Bank, Keczer, Eleni, Koukoulioti, Nicola, Muscatiello, Konstantinos, Triantafyllou, Andreas, Polydorou, Ivica, Grgurevic, Paolo Giorgio, Arcidiacono, Ioannis S, Papanikolaou
Rok vydání: 2022
Předmět:
Zdroj: Annals of gastroenterology. 35(6)
ISSN: 1108-7471
Popis: Background: Endoscopic ultrasound (EUS)-guided transmural drainage allows treatment of symptomatic peripancreatic fluid collections (PFCs), with lumen-apposing metal stents (LAMS) and double pigtail plastic stents (DPPS) being the 2 most frequently used modalities. Methods: Consecutive patients undergoing PFC drainage in 10 European centers were retrospectively retrieved. Technical success (successful deployment), clinical success (satisfactory drainage), rate and type of early adverse events, drainage duration and complications on stent removal were evaluated. Results: A total of 128 patients-92 men (71.9%), age 57.2±11.9 years-underwent drainage, with pancreatic pseudocyst (PC) and walled-off necrosis (WON) in 92 (71.9%) and 36 (28.1%) patients, respectively. LAMS were used in 80 (62.5%) patients and DPPS in 48 (37.5%). Technical success was achieved in 124 (96.9%) of the cases, with no difference regarding either the type of stent (P>0.99) or PFC type (P=0.07). Clinical success was achieved in 119 (93%); PC had a better response than WON (91/92 vs. 28/36, P
Databáze: OpenAIRE