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Complications of endoscopic ultrasound-guided transmural drainage of pancreatic fluid collections and their management

Το τεκμήριο παρέχεται από τον φορέα :
Hellenic Society of Gastroenterology   

Αποθετήριο :
Annals of Gastroenterology   

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Complications of endoscopic ultrasound-guided transmural drainage of pancreatic fluid collections and their management (EN)
Rana, Surinder S.
Shah, Jimil
Kang, Mandeep
Gupta, Rajesh
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
2019-08-23
The development of endoscopic ultrasound (EUS)-guided drainage techniques and lumen-apposing metal stents (LAMS) has markedly reduced the complication rate of endoscopic transmural drainage of pancreatic collections and made these procedures safer and more effective. Despite its improved safety profile, various types of complications, some even life-threatening, can occur after EUS-guided drainage of pancreatic fluid collections. Stent maldeployment/migration, bleeding, gastrointestinal perforation, and air embolism are important complications of EUS-guided drainage of pancreatic collections. Delayed complications weeks after the procedure, such as bleeding and buried LAMS due to the presence of prolonged indwelling transmural stents, have also been described. Careful patient selection, with proper assessment of the size, solid necrotic content and location of the collection, as well as an in-depth understanding of various risk factors that predict complications, are important for a safer and more effective endoscopic transmural drainage. For a better clinical outcome, it is important for the endoscopist to know about various complications of EUS-guided drainage of pancreatic collections, as well as their appropriate management strategies. Keywords Endosonography, bleeding, pseudoaneurysm, perforation, embolism, stents Ann Gastroenterol 2019; 32 (5): 441-450 (EN)
Αγγλική γλώσσα
Hellenic Society of Gastroenterology (EN)
1792-7463
1108-7471
Annals of Gastroenterology; Volume 32, No 5 (2019); 441 (EN)
Copyright (c) 2019 Annals of Gastroenterology (EN)
Hellenic Society of Gastroenterology
Annals of Gastroenterology
Review Articles



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