EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series
Background and study aims Transgastric endoscopic ultrasound (EUS)-guided drainage and, if needed, necrosectomy is the preferred treatment in patients with pancreatic walled-off necrosis. EUS-guided transcolonic or transrectal drainage and necrosectomy may serve as a minimally invasive alternative i...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2023-06-01
|
| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2095-0272 |
| _version_ | 1797792140422545408 |
|---|---|
| author | Mohamed Ebrahim Srdan Novovic Palle Nordblad Schmidt Erik Feldager Hansen John Gásdal Karstensen |
| author_facet | Mohamed Ebrahim Srdan Novovic Palle Nordblad Schmidt Erik Feldager Hansen John Gásdal Karstensen |
| author_sort | Mohamed Ebrahim |
| collection | DOAJ |
| description | Background and study aims Transgastric endoscopic ultrasound (EUS)-guided drainage and, if needed, necrosectomy is the preferred treatment in patients with pancreatic walled-off necrosis. EUS-guided transcolonic or transrectal drainage and necrosectomy may serve as a minimally invasive alternative in cases in which transgastric or percutaneous drainage is either impossible or fails to secure sufficient drainage. In this paper, we retrospectively evaluated the feasibility, safety, and efficacy of the treatment. We included nine patients and found a technical success rate of 100%, clinical success in 89%, and one adverse event (11%). Transrectal/transcolonic endoscopic necrosectomy was needed in seven patients (78%). |
| first_indexed | 2024-03-13T02:28:54Z |
| format | Article |
| id | doaj.art-279da18568614b6ba36e4d2f1cbf8541 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-03-13T02:28:54Z |
| publishDate | 2023-06-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-279da18568614b6ba36e4d2f1cbf85412023-06-29T23:07:33ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362023-06-011106E618E62210.1055/a-2095-0272EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case seriesMohamed Ebrahim0Srdan Novovic1Palle Nordblad Schmidt2Erik Feldager Hansen3John Gásdal Karstensen4Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, DenmarkPancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, DenmarkPancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, DenmarkPancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, DenmarkPancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, DenmarkBackground and study aims Transgastric endoscopic ultrasound (EUS)-guided drainage and, if needed, necrosectomy is the preferred treatment in patients with pancreatic walled-off necrosis. EUS-guided transcolonic or transrectal drainage and necrosectomy may serve as a minimally invasive alternative in cases in which transgastric or percutaneous drainage is either impossible or fails to secure sufficient drainage. In this paper, we retrospectively evaluated the feasibility, safety, and efficacy of the treatment. We included nine patients and found a technical success rate of 100%, clinical success in 89%, and one adverse event (11%). Transrectal/transcolonic endoscopic necrosectomy was needed in seven patients (78%).http://www.thieme-connect.de/DOI/DOI?10.1055/a-2095-0272 |
| spellingShingle | Mohamed Ebrahim Srdan Novovic Palle Nordblad Schmidt Erik Feldager Hansen John Gásdal Karstensen EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series Endoscopy International Open |
| title | EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series |
| title_full | EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series |
| title_fullStr | EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series |
| title_full_unstemmed | EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series |
| title_short | EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series |
| title_sort | eus guided transcolonic drainage and necrosectomy in walled off necrosis a retrospective single center case series |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2095-0272 |
| work_keys_str_mv | AT mohamedebrahim eusguidedtranscolonicdrainageandnecrosectomyinwalledoffnecrosisaretrospectivesinglecentercaseseries AT srdannovovic eusguidedtranscolonicdrainageandnecrosectomyinwalledoffnecrosisaretrospectivesinglecentercaseseries AT pallenordbladschmidt eusguidedtranscolonicdrainageandnecrosectomyinwalledoffnecrosisaretrospectivesinglecentercaseseries AT erikfeldagerhansen eusguidedtranscolonicdrainageandnecrosectomyinwalledoffnecrosisaretrospectivesinglecentercaseseries AT johngasdalkarstensen eusguidedtranscolonicdrainageandnecrosectomyinwalledoffnecrosisaretrospectivesinglecentercaseseries |