인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Endoscopic drainage for pancreatic and peripancreatic fluidcollections (PFCs) has been increasingly used as a minimallyinvasive alternative to surgical or percutaneous drainage.
Recently, endoscopic ultrasound-guided transluminal drainage(EUS-TD) has become the standard of care and a safeprocedure for nonsurgical PFC treatment. EUS-TD ensuresa safe puncture, avoiding intervening blood vessels. Singleor multiple plastic stents (combined with a nasocystic catheter)were used for the treatment of PFCs for EUS-TD. Morerecently, the use of covered self-expandable metallic stents(CSEMSs) has provided a safer and more efficient approachroute for internal drainage. We focused our review on thebest approach and stent to use in endoscopic drainage forPFCs. We reviewed studies of EUS-TD for PFCs based onthe original Atlanta Classification, including case reports,case series, and previous review articles. Data on clinicaloutcomes and adverse events were collected retrospectively.
A total of 93 patients underwent EUS-TD of pancreaticpseudocysts using CSEMSs. The treatment success and adverseevent rates were 94.6% and 21.1%, respectively. Themajority of complications were of mild severity and resolvedwith conservative therapy. A total of 56 patients underwentEUS-TD using CSEMSs for pancreatic abscesses or infectedwalled-off necroses. The treatment success and adverseevent rates were 87.8% and 9.5%, respectively. EUS-TD canbe performed safely and efficiently for PFC treatment. Largerdiameter CSEMSs without additional fistula tract dilation forthe passage of a standard scope are needed to access anddrain for PFCs with solid debris.
본문·목차
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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