Endoscopic Ultrasound-Guided Pancreatic Duct Drainage (EUS-PD)

Author(s):  
Shawn L. Shah ◽  
Amy Tyberg

2020 ◽  
Vol 91 (6) ◽  
pp. AB329
Author(s):  
Matthew R. Krafft ◽  
Michael P. Croglio ◽  
Theodore W. James ◽  
Todd H. Baron ◽  
John Y. Nasr


2020 ◽  
Vol 08 (11) ◽  
pp. E1664-E1672
Author(s):  
Saurabh Chandan ◽  
Babu P. Mohan ◽  
Shahab R. Khan ◽  
Lena L. Kassab ◽  
Suresh Ponnada ◽  
...  

Abstract Background and study aims Endoscopic ultrasound guided pancreatic duct drainage (EUS-PDD) is a minimal-invasive therapeutic option to surgery and in patients with failed endoscopic retrograde pancreatography (ERP). The aim of this review was to quantitatively appraise the clinical outcomes of EUS-PDD by meta-analysis methods. Methods We searched multiple databases from inception through March 2020 to identify studies that reported on EUS-PDD. Pooled rates of technical success, successful drainage of pancreatic duct, clinical success, and adverse events were calculated. Study heterogeneity was assessed using I2% and 95 % prediction interval. Results A total of 22 studies (714 patients) were included. The pooled rate of technical success in EUS-PDD was 84.8 % (95 % CI 79.1–89.2). The pooled rate of successful PD drained by EUS-PDD was 77.5 % (95 % CI 63.1–87.4). The pooled rate of clinical success of EUS-PDD was 89.2 % (95 % CI 82.1–93.7). The pooled rate of all adverse events was 18.1 % (95 % CI 14.2–22.9). On sub-group analysis, the pooled technical success and clinical success of EUS-PDD from Japanese data were considerably superior (91.2 %, 83–95.6 & 92.5 %, 83.9–96.7, respectively). The pooled rate of post EUS-PDD acute pancreatitis was 6.6 % (95 % CI 4.5–9.4), bleeding was 4.1 % (95 % CI 2.7–6.2), perforation and/or pneumoperitoneum was 3.1 % (95 % CI 1.9–5), pancreatic leak and/or pancreatic fluid collection was 2.3 % (95 % CI 1.4–4), and infection was 2.8 % (95 % CI 1.7–4.6). Conclusion EUS-PDD demonstrates high technical success and clinical success rates with acceptable adverse events. Technical success was especially high for anastomotic strictures.



2014 ◽  
Vol 22 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Larissa L. Fujii-Lau ◽  
Michael J. Levy


Endoscopy ◽  
2019 ◽  
Vol 51 (06) ◽  
pp. E145-E146 ◽  
Author(s):  
Takeshi Ogura ◽  
Nobu Nishioka ◽  
Masanori Yamada ◽  
Kazuya Ueshima ◽  
Kazuhide Higuchi


Endoscopy ◽  
2011 ◽  
Vol 43 (S 02) ◽  
pp. E182-E183 ◽  
Author(s):  
C. Sun ◽  
Z.-D. Jin ◽  
X. Pan ◽  
D. Wang ◽  
Z.-S. Li


Endoscopy ◽  
2017 ◽  
Vol 49 (08) ◽  
pp. E197-E199 ◽  
Author(s):  
Nozomi Okuno ◽  
Kazuo Hara ◽  
Nobumasa Mizuno ◽  
Susumu Hijioka ◽  
Takamichi Kuwahara ◽  
...  


2019 ◽  
Vol 31 (S1) ◽  
pp. 65-66 ◽  
Author(s):  
Yousuke Nakai ◽  
Hirofumi Kogure ◽  
Kazuhiko Koike


Endoscopy ◽  
2020 ◽  
Author(s):  
Tatsuya Ishii ◽  
Tsuyoshi Hayashi ◽  
Kuniyuki Takahashi ◽  
Toshifumi Kin ◽  
Akio Katanuma


Sign in / Sign up

Export Citation Format

Share Document