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Complications of endoscopic ultrasound-guided transmural drainage of pancreatic fluid collections and their management
- Source :
- Annals of Gastroenterology
- Publication Year :
- 2019
- Publisher :
- Hellenic Society of Gastroenterology, 2019.
-
Abstract
- The development of endoscopic ultrasound (EUS)-guided drainage techniques and lumen-apposing metal stents (LAMS) has markedly reduced the complication rate of endoscopic transmural drainage of pancreatic collections and made these procedures safer and more effective. Despite its improved safety profile, various types of complications, some even life-threatening, can occur after EUS-guided drainage of pancreatic fluid collections. Stent maldeployment/migration, bleeding, gastrointestinal perforation, and air embolism are important complications of EUS-guided drainage of pancreatic collections. Delayed complications weeks after the procedure, such as bleeding and buried LAMS due to the presence of prolonged indwelling transmural stents, have also been described. Careful patient selection, with proper assessment of the size, solid necrotic content and location of the collection, as well as an in-depth understanding of various risk factors that predict complications, are important for a safer and more effective endoscopic transmural drainage. For a better clinical outcome, it is important for the endoscopist to know about various complications of EUS-guided drainage of pancreatic collections, as well as their appropriate management strategies.
- Subjects :
- Endoscopic ultrasound
medicine.medical_specialty
medicine.medical_treatment
Perforation (oil well)
Review Article
Air embolism
embolism
Endosonography
03 medical and health sciences
Pseudoaneurysm
0302 clinical medicine
Gastrointestinal perforation
medicine
perforation
Drainage
medicine.diagnostic_test
business.industry
Gastroenterology
Stent
pseudoaneurysm
medicine.disease
bleeding
Surgery
Embolism
stents
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
business
Subjects
Details
- Language :
- English
- ISSN :
- 17927463 and 11087471
- Volume :
- 32
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Annals of Gastroenterology
- Accession number :
- edsair.doi.dedup.....31e239e17714a06ef059610f7aa6710f