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Clinical Outcome of Endoscopic Ultrasound-Guided Liver Abscess Drainage Using Self-Expandable Covered Metallic Stent (with Video).
- Source :
-
Digestive Diseases & Sciences . Jan2016, Vol. 61 Issue 1, p303-308. 6p. - Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Percutaneous drainage (PCD) is now the first-line drainage method for liver abscess because of its minimal invasiveness and high technical success rate. However, this procedure has several disadvantages, such as extra-drainage and self-tube removal. Recently, EUS-guided liver abscess drainage (EUS-AD) has been developed. However, only a few reports of EUS-AD have been reported. In addition, the clinical benefits of PCD and EUS-AD have not been reported.<bold>Aims: </bold>In the present study, the safety and feasibility of EUS-AD using fully covered SEMS (FCSEMS) and the clinical outcomes of EUS-AD and PCD were examined retrospectively.<bold>Methods: </bold>Twenty-seven consecutive patients who underwent PCD or EUS-AD between April 2012 and April 2015 were included in this study. EUS-AD was performed using FCSEMS. In addition, to prevent stent migration, 7-Fr pig tail plastic stent was placed within FCSEMS.<bold>Results: </bold>Technical success was achieved in all patients of both groups. Clinical success was 100 % in the EUS-AD group although it was 89 % in PCD group (P = 034). Three adverse events were seen in the PCD group (self-tube removal n = 1, tube migration n = 2), but no adverse events were seen in the EUS-AD group. The median hospital stay was significantly shorter in the EUS-AD group than in the PCD group (21 vs 41 days, P = 0.03).<bold>Conclusion: </bold>Because of the short hospital stay, the high clinical success rate, and the low adverse event rate compared to PCD, EUS-AD has potential as a first-line treatment for liver abscess. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LIVER abscesses
*HEALTH outcome assessment
*SURGICAL stents
*LIVER surgery
*ENDOSCOPIC surgery
*METALS in surgery
*CLINICAL trials
*COMPUTED tomography
*ENDOSCOPIC ultrasonography
*LENGTH of stay in hospitals
*METALS
*PROSTHETICS
*TIME
*PILOT projects
*TREATMENT effectiveness
*RETROSPECTIVE studies
*DIGESTIVE system endoscopic surgery
*DIAGNOSIS
*MEDICAL drainage
*EQUIPMENT & supplies
*THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 01632116
- Volume :
- 61
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Digestive Diseases & Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 112062629
- Full Text :
- https://doi.org/10.1007/s10620-015-3841-3