EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses

World J Gastroenterol. 2011 Jan 28;17(4):499-505. doi: 10.3748/wjg.v17.i4.499.

Abstract

Aim: To compare the results for endoscopic ultrasound (EUS)-guided drainage of clear fluid pancreatic pseudocysts with the results for abscess drainage.

Methods: All patients referred for endoscopic drainage of a fluid collection were prospectively included. The outcome was recorded.

Results: Altogether 26 pseudocysts or abscesses were treated in 25 (6 female) patients. One endoscopist performed the procedures. Non-infected pseudocysts were present in 15 patients and 10 patients had infected fluid collections. The cyst size ranged between 28 cm × 13 cm and 5 cm × 5 cm. The EUS drainage was successful in 94% of the pseudocysts and in 80% of the abscesses (P = 0.04). The complication rate in pseudocysts was 6% and in abscesses was 30% (P = 0.02). Recurrence of a pseudocyst occurred in one patient (4%) after 6 mo; the patient was successfully retreated.

Conclusion: EUS-guided drainage of pseudocysts is associated with a higher success rate and a lower complication rate compared with abscess drainage.

Keywords: Abscess; Drainage; Endoscopic ultrasound; Pancreas; Pseudocyst.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abscess / diagnostic imaging*
  • Abscess / surgery*
  • Adult
  • Aged
  • Child
  • Drainage / methods*
  • Endosonography / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Pseudocyst / diagnostic imaging*
  • Pancreatic Pseudocyst / surgery*
  • Prospective Studies
  • Treatment Outcome
  • Young Adult