Endoscopy 2019; 51(04): S179
DOI: 10.1055/s-0039-1681700
ESGE Days 2019 ePoster podium presentations
Saturday, April 6, 2019 13:00 – 13:30: EUS therapeutic miscelaneous ePoster Podium 5
Georg Thieme Verlag KG Stuttgart · New York

THE EFFECTIVENESS OF EARLY ENDOSCOPIC ULTRASOUND-GUIDED DRAINAGE FOR POSTOPERATIVE FLUID COLLECTION AFTER PANCREATOBILIARY SURGERY

SS Lee
1   Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of
,
H Lee
1   Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of
,
D Oh
1   Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of
,
TJ Song
1   Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of
,
DH Park
1   Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of
,
SK Lee
1   Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of
,
MH Kim
1   Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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    Aims:

    Postoperative abdominal fluid collection (PAFC) is a potentially fatal complication. Recently, EUS-guided drainage has been shown an effective way to treat PAFC more than 4 weeks old. The aim of this study was to assess the usefulness of earlier drainage of PAFC by using EUS-guidance.

    Methods:

    The data of patients who had undergone EUS-guided PAFC drainage between July 2008 and January 2018 was retrospectively analyzed. Data of EUS-guided PAFC drainage was obtained from prospective collected EUS database of our institute and reviewed of patients' clinical parameters based on electrical medical record.

    Results:

    A total of 48 patients who has undergone EUS-guided PAFC drainage within 4 weeks after surgery were enrolled. The indications of the procedure were abdominal pain (n = 27), fever (n = 18), leukocytosis (n = 2), increased size during external tube drainage (n = 1). Technical success rate was 100% (48/48), clinical success rate was 95.8% (46/48). Four patients underwent second procedures. Median period from surgery to EUS-guide drainage was 14 days (6 – 31) and from procedure to resolution was 23.5 days (0 – 113). Adverse event reported in one patient was bleeding occurred in fifth day after the procedure and was improved by left gastric artery embolization.

    Conclusions:

    EUS-guided PAFC drainage within 4 weeks after pancreatobiliary surgery is a safe and useful treatment option for PAFC.


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