TY - JOUR
T1 - Single-step versus two-step endo-ultrasonography-guided drainage of pancreatic pseudocyst
AU - Mangiavillano, Benedetto
AU - Arcidiacono, Paolo Giorgio
AU - Masci, Enzo
AU - Mariani, Alberto
AU - Petrone, Maria Chiara
AU - Carrara, Silvia
AU - Testoni, Sabrina
AU - Testoni, Pier Alberto
PY - 2012/1
Y1 - 2012/1
N2 - Objective: The aim of this prospective study was to compare the feasibility, technical success rate and complication between single-step endo-ultrasonography (EUS)-guided and two-step EUS-guided drainage technique for symptomatic pancreatic pseudocyst (PP). Methods: Twenty-one PP patients with clear intra-cystic fluid that needed to be drained were divided into two groups, depending on the availability of the therapeutic echoendoscope at the time of the procedure: Group 1 (13 patients) underwent a single-step EUS-guided endoscopic drainage and Group 2 (8 patients) underwent a two-step EUS-guided drainage technique. RESULTS: In Group 1 immediate technical success was achieved in 92.3% (12/13); two patients had recurrent PP and both were successfully treated by a second EUS-guided drainage. Clinical success was achieved in all cases. In Group 2 technical success was achieved in 75.0% of the patients (6/8). One patient (12.5%) bled 36 h after the procedure. Five out of 6 patients had long-term success. Clinical success was significantly greater in Group 1 (P
AB - Objective: The aim of this prospective study was to compare the feasibility, technical success rate and complication between single-step endo-ultrasonography (EUS)-guided and two-step EUS-guided drainage technique for symptomatic pancreatic pseudocyst (PP). Methods: Twenty-one PP patients with clear intra-cystic fluid that needed to be drained were divided into two groups, depending on the availability of the therapeutic echoendoscope at the time of the procedure: Group 1 (13 patients) underwent a single-step EUS-guided endoscopic drainage and Group 2 (8 patients) underwent a two-step EUS-guided drainage technique. RESULTS: In Group 1 immediate technical success was achieved in 92.3% (12/13); two patients had recurrent PP and both were successfully treated by a second EUS-guided drainage. Clinical success was achieved in all cases. In Group 2 technical success was achieved in 75.0% of the patients (6/8). One patient (12.5%) bled 36 h after the procedure. Five out of 6 patients had long-term success. Clinical success was significantly greater in Group 1 (P
KW - Endo-ultrasonography
KW - Endoscopic drainage
KW - Pancreatic pseudocysts
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U2 - 10.1111/j.1751-2980.2011.00547.x
DO - 10.1111/j.1751-2980.2011.00547.x
M3 - Article
C2 - 22188916
AN - SCOPUS:84155178253
VL - 13
SP - 47
EP - 53
JO - Journal of Digestive Diseases
JF - Journal of Digestive Diseases
SN - 1751-2972
IS - 1
ER -