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Ebrahim M, Novovic S, Schmidt PN, Feldager Hansen E, Karstensen JG. EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series. Endosc Int Open 2023; 11:E618-E622. [PMID: 37854888 PMCID: PMC10581201 DOI: 10.1055/a-2095-0272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 05/11/2023] [Indexed: 10/20/2023] Open
Abstract
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%).
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Affiliation(s)
- Mohamed Ebrahim
- Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark
| | - Srdan Novovic
- Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark
- Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark
| | - Palle Nordblad Schmidt
- Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark
| | - Erik Feldager Hansen
- Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark
| | - John Gásdal Karstensen
- Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark
- Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark
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Polymeros D, Sioulas AD, Tsiamoulos Z, Kontopoulou C, Giannitsioti E, Triantafyllou K. Endoscopically drained abdominal abscess compressing the sigmoid. Indian J Gastroenterol 2012; 31:346-8. [PMID: 22843307 DOI: 10.1007/s12664-012-0196-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2012] [Accepted: 05/22/2012] [Indexed: 02/04/2023]
Abstract
Intra-abdominal abscesses (IAA) complicate numerous medical and surgical pathologic conditions. Accurate radiological diagnosis combined with percutaneous or surgical drainage and antibiotics is the current standard of care for IAA. We herein report a case of a 52-year-old woman with a 10-day history of fever and abdominal pain. An intra-abdominal abscess externally compressing the sigmoid was revealed and successfully drained during colonoscopy.
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Affiliation(s)
- Dimitrios Polymeros
- Hepatogastroenterology Unit, 2nd Department of Internal Medicine and Research Unit, University of Athens Medical School, Attikon University General Hospital, 1 Rimini Street, 12462 Haidari, Greece
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