Evidence map›Paper›PMID 39966131›Full record

ArticleSurgical endoscopy2025

First-intention EUS-guided transluminal drainage with LAMS: an effective and safe method for management of fluid collections after any kind of surgery.

Maria Terrin, Francesca D'Errico, Hugo Rotkopf, Thierry Tuszynski, Jean-Loup Dumont, Serge Dehry, Roberta Maselli, Alessandro Fugazza, Hadrien Tranchart, Sébastien Gaujoux and 4 more

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Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Maria TerrinInterventional Endoscopy Unit, Private Hospital Peupliers, Ramsay Santé, Paris, France.
Francesca D'ErricoInterventional Endoscopy Unit, Private Hospital Peupliers, Ramsay Santé, Paris, France.
Hugo RotkopfInterventional Endoscopy Unit, Private Hospital Peupliers, Ramsay Santé, Paris, France.
Thierry TuszynskiInterventional Endoscopy Unit, Private Hospital Peupliers, Ramsay Santé, Paris, France.
Jean-Loup DumontInterventional Endoscopy Unit, Private Hospital Peupliers, Ramsay Santé, Paris, France.
Serge DehryInterventional Endoscopy Unit, Private Hospital Peupliers, Ramsay Santé, Paris, France.
Roberta MaselliDepartment of Biomedical Sciences, Pieve Emanuele, Italy and Humanitas Clinical and Research Center IRCCS, Endoscopy Unit, Humanitas University, Rozzano, Italy.
Alessandro FugazzaDepartment of Biomedical Sciences, Pieve Emanuele, Italy and Humanitas Clinical and Research Center IRCCS, Endoscopy Unit, Humanitas University, Rozzano, Italy.
Hadrien TranchartDepartment of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, Clamart, France.
Sébastien GaujouxDepartment of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Pitié-Salpêtrière Hospital, AP-HP, Paris, France and Sorbonne University, Paris, France.
Ibrahim DagherDepartment of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, Clamart, France.
Olivier ScattonDepartment of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Pitié-Salpêtrière Hospital, AP-HP, Paris, France and Sorbonne University, Paris, France.
Alessandro RepiciDepartment of Biomedical Sciences, Pieve Emanuele, Italy and Humanitas Clinical and Research Center IRCCS, Endoscopy Unit, Humanitas University, Rozzano, Italy.
Gianfranco DonatelliInterventional Endoscopy Unit, Private Hospital Peupliers, Ramsay Santé, Paris, France. donatelligianfranco@gmail.com.ORCID 0000-0003-0645-1710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSymptomatic postoperative collections (PCs) frequently complicate surgery with significant morbidity and mortality. In contrast with pancreatic inflammatory collections, little is known about endoscopic ultrasound-guided drainage of PCs (EUS-PCD). The aim of this study is to evaluate the safety and efficacy of EUS-PCD using lumen-apposing metal stent (LAMS) as the first-line drainage approach for PCs of any kind.

methodsThis is a monocentric retrospective study. We retrieved all consecutive symptomatic PCs treated at our center between February 2019 and September 2024. All cases were considered suitable for EUS-PCD after multidisciplinary discussion. Rates of technical success, clinical success, and AEs were calculated.

resultsWe retrieved 66 PCs, mainly resulting from pancreatic and lower gastrointestinal tract surgery. The median size of collections was 7.6 cm and infection occurred in 54 of the cases. The median time from surgery to drainage was 19 days (IQR 13-29); in 10 cases, this occurred ≤ 7 days after surgery. 51 drainages were performed from the gastric/duodenal window, 15 transrectally. LAMS were removed after a median time of 18.5 days (IQR 12-27). After removal, double-pigtail stents were placed in 25 PCs and at least one necrosectomy session was performed in 13. Technical success was achieved in 97.0% of cases. Clinical success was achieved in 95.2%; in 3 cases, collection recurrence occurred and retreatment with LAMS was successful. Overall AEs rate was 9.1%, but only one was severe, requiring surgery. Rates of technical and clinical failure and AEs were not affected by surgery type (pancreatic, non-pancreatic), timing of drainage (≤ 7, 7-10, > 10 days), size of collections (≤ 4, 4-10, > 10 cm), and access window (transgastric/duodenal/rectal). Necrosectomy performance was the only predictor of AEs occurrence (OR 6.9, C.I.: 1.1-46.9, p = 0.048) at univariable analysis.

conclusionFirst-intention EUS-PCD seems to be a safe and effective treatment, regardless of the origin and size of the collection and drainage timing.

Indexed as

DrainageEndosonographyPostoperative ComplicationsStentsAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeUltrasonography, InterventionalAbscessEUS drainageHot AxiosLAMSPost-operative collections

Identifiers

PMID39966131

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.