본문 바로가기
KERD
논문KCI 등재

Pancreatic Fluid Collection Drainage by Endoscopic Ultrasound: An update

Monica Gaidhane|Michel Kahaleh|Shashideep Singhal|Stephen R. Rotman
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2013.09|Clinical Endoscopy|제46권 제5호|pp. 506-514

2

조회

0

다운로드

7

인용

0

참고문헌

키워드

Pancreatic pseudocystEndosonographyPancreatic fluid collectionsNonbulging pancreatic fluid collections
주제분류내과학

초록

Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and efficacy of endoscopic transluminal PFC drainage. Steps include EUS-guided trangastric or transduodenal fistula creation into the PFC followed by stent placement or nasocystic drain deployment in order to decompress the collection. With the remarkable improvement in the available accessories and stents and development of exchange free access device; EUS drainage techniques have become simpler and less time consuming. The use of self-expandable metal stents with modifications to drain PFC has helped in overcoming some previously encountered challenges. PFCs considered suitable for endoscopic drainage include collection present for greater than 4 weeks, possessing a well-formed wall, position accessible endoscopically and located within 1 cm of the duodenal or gastric walls. Indications for EUS-guided drainage have been increasing which include unusual location of the collection, small window of entry, nonbulging collections, coagulopathy, intervening varices, failed conventional transmural drainage, indeterminate adherence of PFC to the luminal wall or suspicion of malignancy. In this article, we present a review of literature to date and discuss the recent developments in EUS-guided PFC drainage.

Abstract

Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and efficacy of endoscopic transluminal PFC drainage. Steps include EUS-guided trangastric or transduodenal fistula creation into the PFC followed by stent placement or nasocystic drain deployment in order to decompress the collection. With the remarkable improvement in the available accessories and stents and development of exchange free access device; EUS drainage techniques have become simpler and less time consuming. The use of self-expandable metal stents with modifications to drain PFC has helped in overcoming some previously encountered challenges. PFCs considered suitable for endoscopic drainage include collection present for greater than 4 weeks, possessing a well-formed wall, position accessible endoscopically and located within 1 cm of the duodenal or gastric walls. Indications for EUS-guided drainage have been increasing which include unusual location of the collection, small window of entry, nonbulging collections, coagulopathy, intervening varices, failed conventional transmural drainage, indeterminate adherence of PFC to the luminal wall or suspicion of malignancy. In this article, we present a review of literature to date and discuss the recent developments in EUS-guided PFC drainage.

참고문헌 (61)

  1. Baron TH, "Endoscopic therapy for organized pancreatic necrosis", Gastroenterology, 111, pp.755~764 (1996)
  2. Baillie J., "Pancreatic pseudocysts (Part I)", Gastrointest Endosc, 59, pp.873~879 (2004)
  3. Yeo CJ, "Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes", Ann Surg, 226, pp.248~257 (1997)
  4. Arvanitakis M, "Endoscopic therapy for main pancreatic-duct rupture after Silastic-ring vertical gastroplasty", Gastrointest Endosc, 62, pp.143~151 (2005)
  5. Klöppel G, "Pseudocysts and other non-neoplastic cysts of the pancreas", Semin Diagn Pathol, 17, pp.7~15 (2000)
  6. Bradley EL 3rd, "A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13, 1992", Arch Surg, 128, pp.586~590 (1993)
  7. Baron TH, "Outcome differences after endoscopic drainage of pancreatic necrosis, acute pancreatic pseudocysts, and chronic pancreatic pseudocysts", Gastrointest Endosc, 56, pp.7~17 (2002)
  8. Baron TH, "The diagnosis and management of fluid collections associated with pancreatitis", Am J Med, 102, pp.555~563 (1997)
  9. Yeo CJ, "The natural history of pancreatic pseudocysts documented by computed tomography", Surg Gynecol Obstet, 170, pp.411~417 (1990)
  10. Bradley EL, "The natural history of pancreatic pseudocysts: a unified concept of management", Am J Surg, 137, pp.135~141 (1979)
  11. Gouyon B, "Predictive factors in the outcome of pseudocysts complicating alcoholic chronic pancreatitis", Gut, 41, pp.821~825 (1997)
  12. Warshaw AL, "Timing of surgical drainage for pancreatic pseudocyst. Clinical and chemical criteria", Ann Surg, 202, pp.720~724 (1985)
  13. Bradley EL 3rd, "A fifteen year experience with open drainage for infected pancreatic necrosis", Surg Gynecol Obstet, 177, pp.215~222 (1993)
  14. Boerma D, "Internal drainage of infected pancreatic pseudocysts: safe or sorry?", Dig Surg, 16, pp.501~505 (1999)
  15. vanSonnenberg E, "Percutaneous drainage of infected and noninfected pancreatic pseudocysts: experience in 101 cases", Radiology, 170(3 Pt 1), pp.757~761 (1989)
  16. Ahearne PM, "An endoscopic retrograde cholangiopancreatography (ERCP)- based algorithm for the management of pancreatic pseudocysts", Am J Surg, 163, pp.111~115 (1992)
  17. Adams DB, "Percutaneous catheter drainage of infected pancreatic and peripancreatic fluid collections", Arch Surg, 125, pp.1554~1557 (1990)
  18. Neff R., "Pancreatic pseudocysts and fluid collections: percutaneous approaches", Surg Clin North Am, 81, pp.399~403 (2001)
  19. Binmoeller KF, "Transpapillary and transmural drainage of pancreatic pseudocysts", Gastrointest Endosc, 42, pp.219~224 (1995)
  20. Cahen D, "Endoscopic drainage of pancreatic pseudocysts: long-term outcome and procedural factors associated with safe and successful treatment", Endoscopy, 37, pp.977~983 (2005)
  21. Hookey LC, "Endoscopic drainage of pancreatic-fluid collections in 116 patients: a comparison of etiologies, drainage techniques, and outcomes", Gastrointest Endosc, 63, pp.635~643 (2006)
  22. Delhaye M, "Endoscopic management of chronic pancreatitis", Gastrointest Endosc Clin N Am, 13, pp.717~742 (2003)
  23. Giovannini M, "EUS-guided pancreatic pseudocyst drainage", Tech Gastrointest Endosc, 9, pp.32~38 (2007)
  24. Howell DA, "Endoscopic needle localization of pancreatic pseudocysts before transmural drainage", Gastrointest Endosc, 39, pp.693~698 (1993)
  25. Antillon MR, "Single-step EUS-guided transmural drainage of simple and complicated pancreatic pseudocysts", Gastrointest Endosc, 63, pp.797~803 (2006)
  26. Sanchez Cortes E, "Endoscopic cystenterostomy of nonbulging pancreatic fluid collections", Gastrointest Endosc, 56, pp.380~386 (2002)
  27. Arvanitakis M, "Pancreatic-fluid collections: a randomized controlled trial regarding stent removal after endoscopic transmural drainage", Gastrointest Endosc, 65, pp.609~619 (2007)
  28. Baron TH, "Endoscopic drainage of pancreatic pseudocysts", J Gastrointest Surg, 12, pp.369~372 (2008)
  29. Giovannini M, "Endoscopic ultrasound-guided drainage of pancreatic pseudocysts or pancreatic abscesses using a therapeutic echo endoscope", Endoscopy, 33, pp.473~477 (2001)
  30. Azar RR, "Wire-guided pancreatic pseudocyst drainage by using a modified needle knife and therapeutic echoendoscope", Gastrointest Endosc, 63, pp.688~692 (2006)
  31. Krüger M, "Endoscopic management of pancreatic pseudocysts or abscesses after an EUS-guided 1-step procedure for initial access", Gastrointest Endosc, 63, pp.409~416 (2006)
  32. Kahaleh M, "Endoscopic ultrasound drainage of pancreatic pseudocyst: a prospective comparison with conventional endoscopic drainage", Endoscopy, 38, pp.355~359 (2006)
  33. Lopes CV, "Endoscopicultrasound- guided endoscopic transmural drainage of pancreatic pseudocysts and abscesses", Scand J Gastroenterol, 42, pp.524~529 (2007)
  34. Varadarajulu S, "Role of EUS in drainage of peripancreatic fluid collections not amenable for endoscopic transmural drainage", Gastrointest Endosc, 66, pp.1107~1119 (2007)
  35. Barthet M, "Clinical usefulness of a treatment algorithm for pancreatic pseudocysts", Gastrointest Endosc, 67, pp.245~252 (2008)
  36. Varadarajulu S, "Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts (with videos)", Gastrointest Endosc, 68, pp.1102~1111 (2008)
  37. Bakker OJ, "Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial", JAMA, 307, pp.1053~1061 (2012)
  38. Seewald S, "Long-term results after endoscopic drainage and necrosectomy of symptomatic pancreatic fluid collections", Dig Endosc, 24, pp.36~41 (2012)
  39. Fabbri C, "Endoscopic ultrasound-guided transmural drainage of infected pancreatic fluid collections with placement of covered self-expanding metal stents: a case series", Endoscopy, 44, pp.429~433 (2012)
  40. Itoi T, "Clinical evaluation of a novel lumenapposing metal stent for endosonography-guided pancreatic pseudocyst and gallbladder drainage (with videos)", Gastrointest Endosc, 75, pp.870~876 (2012)
  41. Berzosa M, "Single-step endoscopic ultrasonography-guided drainage of peripancreatic fluid collections with a single self-expandable metal stent and standard linear echoendoscope", Endoscopy, 44, pp.543~547 (2012)
  42. Penn DE, "Prospective evaluation of the use of fully covered self-expanding metal stents for EUS-guided transmural drainage of pancreatic pseudocysts", Gastrointest Endosc, 76, pp.679~684 (2012)
  43. Mangiavillano B, "Single-step versus twostep endo-ultrasonography-guided drainage of pancreatic pseudocyst", J Dig Dis, 13, pp.47~53 (2012)
  44. Weilert F, "Endoscopic ultrasound- guided drainage of pancreatic fluid collections with indeterminate adherence using temporary covered metal stents", Endoscopy, 44, pp.780~783 (2012)
  45. Gornals JB, "Endosonography-guided drainage of pancreatic fluid collections with a novel lumen-apposing stent", Surg Endosc, 27, pp.1428~1434 (2013)
  46. Binmoeller KF, "Endosonographyguided transmural drainage of pancreatic pseudocysts using an exchange- free access device: initial clinical experience", Surg Endosc, 27, pp.1835~1839 (2013)
  47. Andrén-Sandberg A, "Pancreatic pseudocysts in the 21st century. Part II: natural history", JOP, 5, pp.64~70 (2004)
  48. Jacobson BC, "ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas", Gastrointest Endosc, 61, pp.363~370 (2005)
  49. Varadarajulu S, "Endoscopic transmural drainage of peripancreatic fluid collections: outcomes and predictors of treatment success in 211 consecutive patients", J Gastrointest Surg, 15, pp.2080~2088 (2011)
  50. Seifert H, "Endoscopic ultrasound-guided one-step transmural drainage of cystic abdominal lesions with a large-channel echo endoscope", Endoscopy, 32, pp.255~259 (2000)
  51. Seifert H, "Transmural drainage of cystic peripancreatic lesions with a new largechannel echo endoscope", Endoscopy, 33, pp.1022~1026 (2001)
  52. Giovannini M, "Cystogastrotomy entirely performed under endosonography guidance for pancreatic pseudocyst: results in six patients", Gastrointest Endosc, 48, pp.200~203 (1998)
  53. Elsevier, "Endoscopic drainage of pancreatic pseudocysts, abscesses and organized (walled-off) necrosis, In ERCP, In Saunders", pp.2008, Baron TH
  54. Wiersema MJ, "Endosonography-guided cystoduodenostomy with a therapeutic ultrasound endoscope", Gastrointest Endosc, 44, pp.614~617 (1996)
  55. Binmoeller KF, "Endoscopic ultrasonography in the diagnosis and treatment of pancreatic pseudocysts", Gastrointest Endosc Clin N Am, 5, pp.805~816 (1995)
  56. Puri R, "Outcome and complications of endoscopic ultrasound guided pancreatic pseudocyst drainage using combined endoprosthesis and naso-cystic drain", J Gastroenterol Hepatol, 27, pp.722~727 (2012)
  57. Zheng M, "Endoscopic ultrasound guided transgastric stenting for the treatment of traumatic pancreatic pseudocyst", Hepatogastroenterology, 58, pp.1106~1109 (2011)
  58. Varadarajulu S, "Frequency of complications during EUS-guided drainage of pancreatic fluid collections in 148 consecutive patients", J Gastroenterol Hepatol, 26, pp.1504~1508 (2011)
  59. Will U, "Interventional ultrasoundguided procedures in pancreatic pseudocysts, abscesses and infected necroses: treatment algorithm in a large single-center study", Ultraschall Med, 32, pp.176~183 (2011)
  60. Talreja JP, "Transenteric drainage of pancreatic-fluid collections with fully covered self-expanding metallic stents (with video)", Gastrointest Endosc, 68, pp.1199~1203 (2008)
  61. Antillon MR, "Transgastric endoscopic necrosectomy with temporary metallic esophageal stent placement for the treatment of infected pancreatic necrosis (with video)", Gastrointest Endosc, 69, pp.178~180 (2009)

이 간행물의 다른 논문 (18건)

Highlights of International Digestive Endoscopy Network 2013김은영, 최일주, 함기백, 동석호, 권광안pp. 425-435Tissue Acquisition in Gastric Epithelial Tumor Prior to Endoscopic Resection김찬규pp. 436-440Endoscopic Ultrasound-Fine Needle Aspiration versus Core Biopsy for the Diagnosis of Subepithelial Tumors황주하, 케빈 웹pp. 441-444Endoscopic Treatment for Early Foregut Neuroendocrine Tumors박무인pp. 450-455Preventing and Controlling Bleeding in Gastric Endoscopic Submucosal Dissection이상길, 박찬혁pp. 456-462
원문 보기