Endoscopic ultrasound-guided drainage of postoperative intra-abdominal abscesses

Although endoscopic ultrasound(EUS)-guided drainage has become the standard procedure for pancreatic pseudocysts in recent years and is generally regarded as a safe and effective method,there have been few reports of EUS-guided drainage of postoperative intra-abdominal abscesses.Here we report our e...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastroenterology : WJG 2015-03, Vol.21 (11), p.3402-3408
Main Authors: Mandai, Koichiro, Uno, Koji, Yasuda, Kenjiro
Format: Article
Language:English
Subjects:
Abdominal Abscess - diagnosis
Abdominal Abscess - diagnostic imaging
Abdominal Abscess - microbiology
Abdominal Abscess - therapy
abscess
Endoscopic
Aged
Anti-Bacterial Agents - therapeutic use
Case Report
Drainage - instrumentation
Drainage - methods
Endosonography
Female
Humans
intra-abdominal
Male
Middle Aged
Pancreatectomy - adverse effects
Pancreatic Neoplasms - pathology
Postoperative
Rectal Neoplasms - pathology
Rectal Neoplasms - surgery
Stents
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Interventional - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Although endoscopic ultrasound(EUS)-guided drainage has become the standard procedure for pancreatic pseudocysts in recent years and is generally regarded as a safe and effective method,there have been few reports of EUS-guided drainage of postoperative intra-abdominal abscesses.Here we report our experience with 4 cases of postoperative intraabdominal abscesses for which EUS-guided drainage was performed between May 2011 and May 2014.Distal pancreatectomy had been performed in 3 cases,whereas low anterior resection for rectal cancer was performed in the remaining case.All patients underwent transgastric naso-cystic drainage,which resulted in clinical improvement without complications,even when performed within 4 wk after surgery.On average,the naso-cystic drain was removed 10 d after placement,with no abscess recurrence.Based on these findings,we believe that EUS-guided drainage of postoperative intraabdominal abscesses is a safe and effective method,although further large-scale investigations are required to confirm our findings.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v21.i11.3402