Endoscopic ultrasound-guided gallbladder drainage: Results of long-term follow-up

Background and Aims. Recurrent pancreatitis associated with pancreatic strictures requires treatment with endoscopic retrograde pancreatography (ERP), but it is sometimes technically unsuccessful. Endoscopic ultrasound-guided pancreatic drainage (EUS-PD) was developed as an alternative to a surgical approach after failed ERP; however, the indications for EUS-PD are unclear. In this study, we evaluated the outcomes of EUS-PD and established the indications for EUS-PD. Methods. A total of 15 patients had indications for EUS-PD for recurrent pancreatitis due to pancreatic strictures. There were eight patients with benign pancreatic strictures and seven with malignant pancreatic strictures. The success rate, adverse events, and long-term outcomes were evaluated. Results. The technical success rates of benign and malignant strictures were 75% (6/8) and 100% (7/7), respectively, and clinical success was achieved in 100% (6/6) and 87.5% of cases (6/7), respectively. Rendezvous procedures were performed in two patients with benign strictures. The adverse event (AE) rate was 26.7% (4/15) and included cases of peritonitis, bleeding, and stent migration. Reinterventions were performed in three patients with benign strictures and two with malignant strictures. Conclusions. EUS-PD was an appropriate treatment for not only benign strictures but also malignant strictures with recurrent pancreatitis after failed ERP. However, the AE rate was high, and reinterventions were required in some cases during long-term follow-up. The indications for EUS-PD should be considered carefully, and careful follow-up is needed.

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Endoscopic ultrasound‐guided coil deployment with sclerotherapy for isolated gastric varices: Case series of feasibility, safety, and long‐term follow‐up

Digestive Endoscopy ◽

10.1111/den.13666 ◽

2020 ◽

Vol 32 (7) ◽

pp. 1100-1104 ◽

Cited By ~ 1

Author(s):

Atsushi Irisawa ◽

Goro Shibukawa ◽

Koki Hoshi ◽

Akane Yamabe ◽

Ai Sato ◽

...

Keyword(s):

Endoscopic Ultrasound ◽

Case Series ◽

Gastric Varices ◽

Ultrasound Guided ◽

Long Term Follow Up ◽

Isolated Gastric Varices

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LONG TERM FOLLOW-UP AFTER EUS-GUIDED GALLBLADDER DRAINAGE FOR ACUTE CHOLECYSTITIS, USING USING HOT AXIOS SYSTEM

10.1055/s-0038-1637385 ◽

2018 ◽

Author(s):

M Manno ◽

C Barbera ◽

VG Mirante ◽

L Miglioli ◽

T Gabbani ◽

...

Keyword(s):

Acute Cholecystitis ◽

Gallbladder Drainage ◽

Long Term Follow Up

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The Safety of Ultrasound Guided Tenotomy for Upper and Lower Extremity Tendinopathies: A Retrospective Study

10.21203/rs.3.rs-32408/v1 ◽

2020 ◽

Author(s):

Benjamin Fick ◽

Daniel Stover ◽

Ruth Chimenti ◽

Mederic Hall

Keyword(s):

Lower Extremity ◽

Physical Function ◽

Complication Rate ◽

Plantar Fascia ◽

Safe Procedure ◽

Ultrasound Guided ◽

Short Term ◽

Long Term Follow Up

Abstract Background: Ultrasound guided tenotomy (USGT) is a minimally invasive treatment option for patients with chronic tendinopathy who fail to benefit from conservative exercise interventions. The complication rate and effectiveness of USGT remain poorly defined in the literature. Purpose: This study aimed to evaluate the risks associated with USGT and outcomes across upper extremity and lower extremity tendinopathy/fasciopathy sites. Methods Patients who had USGT at the elbow, patellar, or Achilles tendons or along the plantar fascia were identified by retrospective review of charts. Screening for complications (infection, tendon rupture, and hypersensitivity) and satisfaction with the procedure were assessed at routine short-term follow-up visits and at long-term follow-up via phone/email. Outcomes (pain, quality of life) were assessed using the region specific pain scales and the Short Form-12, respectively, at baseline prior to the procedure, short-term follow up, and long term follow up. Results: A total of 262 patients were identified through chart review. There was a low complication rate of 0.7% including one superficial wound infection and one case of wound hypersensitivity. Prior to USGT, the majority of patients reported moderate/daily pain that decreased by short-term and long-term follow-up to mild/occasional pain (p < 0.05). Additionally, most patients reported abnormally low physical function prior to USGT that was within normal range of physical function by long-term follow-up (p < 0.05). The majority of responders (63% at the plantar fascia to 92% at the Achilles midportion) reported being either ‘very satisfied’ or ‘somewhat satisfied’ with the procedure at short-term follow-up. Conclusions: This study found that USGT is a safe procedure with a low complication rate in a heterogeneous sample. Study findings provide preliminary evidence on the utility of USGT to reduce pain and improve function with a high rate of patient satisfaction.

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