| 抄録 |
Background : Peripancreatic fluid collections (PFCs) after surgical operation and pancreatic trauma are caused by leaks of pancreatic juice, and its treatment is sometimes challenging. Aim : To evaluate the role of EUS-GTD in the management of PFCs. Methods : Between June 2000 and January 2013. 64 patients underwent EUS-GTD, and out of those, 12 patients (8 men, 4 women; mean age 59 years; range,39-79 years)had PFCs caused by surgical operation or trauma. Following points were evaluated. 1)Underlying disease and cause of PFCs. 2)Time to initial EUS-GTD. 3)Technical success and complication. 4)Methods of initial drainage and its effect. 5)long-term follow-up results. Results : 1) 9 cases were after pancreatic resection (PD2,DP7),the other 3 cases were after either laparoscopic-colonic resection for ascending colonic cancer , pseudocyst caused by gossypiboma in alteration of vessel of esophageal varices, pancreatic trauma after traffic accident. 2)Mean time to initial EUS-GTD was 74 days (range, 10-10021 days). 3)Technical success was achieved in 11/12(91%). No procedural complications were encountered.4)Initial drainage methods were external-drainage 7, internal-drainage 2, both internal and external-drainage 2. 10 of 11 improved with a resolution . The remaining 1 case of gossypiboma was successfully removed of gauze endoscopically. 5) At a mean follow-up of 261 days(range 10-1530 days), no recurrence was recorded. Conclusion : EUS-GTD has been shown to be an effective and safe procedure for PFCs. |
