Postoperative abdominal collections drainage: Percutaneous versus guided by endoscopic ultrasound

• DOI: 10.1111/den.12475
• Publication Date: 2015-03-24T20:46:38Z
• Authors: Félix Téllez‐Ávila; Guillermo Jesús C...; Francisco Valdovi...; Luis Eduardo Casa...; Adrían González‐A...; Ivan Casanova‐Sán...; Javier Elizondo‐R...; Miguel Ángel Ramí...
• Keywords: Endoscopic Ultrasound; Exploratory laparotomy; Biliary Drainage

Postoperative fluid collections (POFC) have high mortality. Percutaneous drainage (PD) is the preferred treatment modality. Drainage guided by endoscopic ultrasound (EUS-GD) represents a good alternative. The aim of present study was to compare clinical success and complication rates EUS-GD versus PD.Data collected prospectively were analyzed in retrospective manner. Patients with POFC from October 2008 November 2013 included. All drained percutaneously or EUS-GD.Sixty-three procedures 43 patients analyzed; 13 using 32 PD. Two assigned initially PD group reassigned EUS-GD. Surgery most often related intestinal reconnection, distal pancreatectomy, biliary-digestive bypass, exploratory laparotomy. Technical (100% vs 91%; P = 0.25), 84%; 0.13), recurrence (31% 25%; 0.69), hospital stay days (median 22 27; 0.35), total costs (8328 ± 1600 USD 11 047 1206 USD; 0.21), complications (0% 6%; 0.3), mortality (8% 0.9) each evaluated groups, respectively. In one death procedure.EUS-GD as effective safe POFC. advantage not requiring external trend higher lower must be considered.