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Hao SJ, Xu WJ, Di Y, et al. Novel and supplementary management of pancreatic fluid collections: Endoscopic ultrasound-guided drainage. World J Gastrointest Endosc. 2017;9(9):486-493doi: 10.4253/wjge.v9.i9.486.
Hao, S. J., Xu, W. J., Di, Y., Yao, L., He, H., Yang, F., Jin, C., Zhong, L., & Fu, D. L. (2017). Novel and supplementary management of pancreatic fluid collections: Endoscopic ultrasound-guided drainage. World journal of gastrointestinal endoscopy, 9(9), 486-493. https://doi.org/10.4253/wjge.v9.i9.486
Hao, Si-Jie, et al. "Novel and supplementary management of pancreatic fluid collections: Endoscopic ultrasound-guided drainage." World journal of gastrointestinal endoscopy vol. 9,9 (2017): 486-493. doi: https://doi.org/10.4253/wjge.v9.i9.486
Hao SJ, Xu WJ, Di Y, Yao L, He H, Yang F, Jin C, Zhong L, Fu DL. Novel and supplementary management of pancreatic fluid collections: Endoscopic ultrasound-guided drainage. World J Gastrointest Endosc. 2017 Sep 16;9(9):486-493. doi: 10.4253/wjge.v9.i9.486. PMID: 28979714; PMCID: PMC5605349.
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World J Gastrointest Endosc. 2017 Sep 16;9(9):486-493. doi: 10.4253/wjge.v9.i9.486.

Novel and supplementary management of pancreatic fluid collections: Endoscopic ultrasound-guided drainage.

World journal of gastrointestinal endoscopy

Si-Jie Hao, Wei-Jia Xu, Yang Di, Lie Yao, Hang He, Feng Yang, Chen Jin, Liang Zhong, De-Liang Fu

Affiliations

  1. Department of Pancreatic surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
  2. Department of Gastroenterology and Digestive Endoscopy, Huashan Hospital, Fudan University, Shanghai 200040, China.
  3. Department of Pancreatic surgery, Huashan Hospital, Fudan University, Shanghai 200040, China. [email protected].

PMID: 28979714 PMCID: PMC5605349 DOI: 10.4253/wjge.v9.i9.486

Abstract

AIM: To compare efficacy and safety of endoscopic ultrasound (EUS)-guided and surgical drainage in pancreatic fluid collection management.

METHODS: Data were obtained retrospectively from January 2012 to December 2016. Patients with pancreatic fluid collection were performed EUS-guided or surgical procedure. Main outcome measures including clinical efficiency, complication, duration of procedures, hospital stay and cost were analyzed.

RESULTS: Thirty-six patients were enrolled into the study, including 14 in endoscopic group while 22 in the surgical group. Twelve (86%) patients were treated successfully by endoscopic approach while 21 (95%) patients benefited through surgical procedure. Endoscopic treatment had higher recurrence and complication rates than surgery, resulting in more re-interventions. Meanwhile, duration of procedure, hospital stay and cost were significantly lower in endoscopic group.

CONCLUSION: Both approaches were effective and safe. EUS-guided approach should be the first-line treatment in mild and simple cases, while surgical approach should be considered as priority in severe and complex cases.

Keywords: Cyst-gastrostomy; Endoscopic ultrasound-guided drainage; Pancreatic fluid collection; Post-operative pancreatic leakage

Conflict of interest statement

Conflict-of-interest statement: We have no financial relationships to disclose.

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