Technical And Clinical Outcomes Of Using Single Wide-Caliber Double Pigtail Stent For Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage, Egyptian Multicenter Prospective Study

E Ghoneem; H Okasha; H Attallah; G Shiha; K Ragab

doi:10.1055/s-0041-1724900

Endoscopy, Table of Contents

Endoscopy 2021; 53(S 01): S231
DOI: 10.1055/s-0041-1724900

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Technical And Clinical Outcomes Of Using Single Wide-Caliber Double Pigtail Stent For Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage, Egyptian Multicenter Prospective Study

Authors

E Ghoneem

¹Faculty of Medicine, Mansoura University, Gastroenterology and Hepatology, Mansoura, Egypt

²Egyptian Liver Research Institute and Hospital (ELRIAH), Gastroenterology and Hepatology, Mansoura, Egypt
H Okasha

³Kasr al-Aini School of Medicine, Cairo University, Internal Medicine, Division of Hepatology and Gastroenterology, Cairo, Egypt
H Attallah

¹Faculty of Medicine, Mansoura University, Gastroenterology and Hepatology, Mansoura, Egypt
G Shiha

¹Faculty of Medicine, Mansoura University, Gastroenterology and Hepatology, Mansoura, Egypt

²Egyptian Liver Research Institute and Hospital (ELRIAH), Gastroenterology and Hepatology, Mansoura, Egypt
K Ragab

⁴Theodor Bilharz Research Institute, Hepatology and Gastroenterology, Cairo, Egypt

Abstract

Full Text

Aims EUS-guided cystogastrostomy is the current accepted practice for pancreatic pseudocyst drainage with insertion of two or more double pigtail stents. There is no much work on the efficacy of using single wide caliber double pigtail stent aiming to decrease the time, complications and accessories used in the procedure.

Methods This multicenter prospective study included 57 patients from them 35 patients with symptomatic pancreatic pseudocysts enrolled. We excluded cysts with multiple septations (n= 7) or > 30 % necrosis (n= 8) of the cyst content and patients with generalized ascites (n= 4) or patient with major comorbidities (n= 3).

Results From fifty-seven patient, thirty-five patients (19 females/16 males, median age 40 years) diagnosed with uncomplicated PPC were referred for EUS-guided drainage. All stents used for the drainage were 10 Fr DP plastic stents. Median duration of the whole procedure in 34 patients was 16 minutes (range; 13.5-27) and only one case with stent mal-deployment into the lumen of the cyst completed using another stent within 40 minutes.

Technical success was achieved in all cases. Clinical success was encountered in 32 patients (91.4 %) with improvement of patient symptoms and resolution of the cyst without re-accumulation on follow up. Minor adverse events were encountered in three patients (8.6 %) including post-procedure abdominal pain in one patient, fever in two patients, resolved after conservative management.

Conclusions we suggest that using a wide caliber single pigtail stent for EUS-guided cystogastrostomy is safe and effective with short procedure time, reduced risks from insertion of other stent(s), and reduced costs.

Citation Ghoneem E, Okasha H, Attallah H et al. eP409 TECHNICAL AND CLINICAL OUTCOMES OF USING SINGLE WIDE-CALIBER DOUBLE PIGTAIL STENT FOR ENDOSCOPIC ULTRASOUND-GUIDED PANCREATIC PSEUDOCYST DRAINAGE, EGYPTIAN MULTICENTER PROSPECTIVE STUDY. Endoscopy 2021; 53: S231.