ArticleThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2021
Endoscopic Ultrasound-Guided Drainage in the Management of Postoperative Pancreatic Fistula After Partial Pancreatectomy.
Article in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery.Surgical endoscopy · 2022Pooled it
- Developing a predictive model for healing of clinically relevant pancreatic fistulas post-pancreatoduodenectomy based on clinical and imaging nutritional status.Japanese journal of radiology · 2025Article
- Outcomes of endoscopic ultrasound-guided transmural drainage for postoperative peripancreatic fluid collection with an external drainage-based approach.BMC gastroenterology · 2025Article
- Advancements in postoperative pancreatic fistula: a comprehensive review of predictive factors, therapies, scoring systems and ongoing trials.eGastroenterology · 2025Review
- Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?Clinical endoscopy · 2024Review
- Impact of endoscopic ultrasound-guided transmural drainage for postoperative pancreatic fistula after pancreatic surgery.DEN open · 2024Article
- [Endoscopic management of complications in the hepatobiliary and pancreatic system and the tracheobronchial tree].Chirurgie (Heidelberg, Germany) · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative pancreatic fistula (POPF) is the most frequent and harmful complication following pancreatic surgery. Traditional management includes conservative treatment, percutaneous drainage (PD), and reoperation. The objective of the present study was to evaluate the safety and effectiveness of EUS (Endoscopic ultrasound)-guided drainage by using nasocystic tubes combined with single or 2 stents for POPF.
methodsPatients who had POPF after surgery and then underwent EUS-guided drainage, from October 2016 to October 2019, were enrolled in this study. Technical success was defined as successful transgastric puncture of the peripancreatic fluid collection (PFC) and deployment of the nasocystic tube and stents. Clinical success was defined as symptomatic improvement and the resolution of the fluid collection on follow-up CT scan.
resultsA total of 15 patients received EUS-guided drainage. In 13 patients, a nasocystic tube was placed in the PFC combined with a double-pigtail plastic stent. In the remaining 2 patients, a nasocystic tube and 2 stents each were inserted in place. Technical success was achieved in 15 of 15 patients (100%). Clinical success was achieved in 14 of 15 patients (93.3%). In one case, the stent was blocked on the 10th day after the procedure. The median time between surgery and EUS-guided drainage was 10 (5-32) days. The median time of hospital stay after EUS-guided drainage was 16 (11-48) days. Operation-unrelated death occurred in 1 patient (7%) during follow-up.
conclusionEUS-guided drainage with a nasocystic tube and double-pigtail stents appears to be safe and technically feasible, and could be an alternative treatment for patients with POPF.
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