title: Endoscopic ultrasound-guided drainage of abdominal abscesses and infected necrosis.
abstract: Traditionally abdominal abscesses have been treated with either surgical or radiologically guided percutaneous drainage. Surgical drainage procedures may be associated with considerable morbidity and mortality, and serious complications may also arise from percutaneous drainage. Endoscopic ultrasound (EUS)-guided drainage of well-demarcated abdominal abscesses, with adjunctive endoscopic debridement in the presence of solid necrotic debris, has been shown to be feasible and safe. This multicenter review summarizes the current status of the EUS-guided approach, describes the available and emerging techniques, and highlights the indications, limitations, and safety issues.
authors.affiliation: Center of Gastroenterology, Klinik Hirslanden Zurich, Switzerland. stefan.seewald@gastrozentrum.ch
authors.forename: S
authors.initials: S
authors.lastname: Seewald
authors.forename: T L
authors.initials: TL
authors.lastname: Ang
authors.forename: K Y
authors.initials: KY
authors.lastname: Teng
authors.forename: S
authors.initials: S
authors.lastname: Groth
authors.forename: Y
authors.initials: Y
authors.lastname: Zhong
authors.forename: H
authors.initials: H
authors.lastname: Richter
authors.forename: H
authors.initials: H
authors.lastname: Imazu
authors.forename: S
authors.initials: S
authors.lastname: Omar
authors.forename: L
authors.initials: L
authors.lastname: Polese
authors.forename: U
authors.initials: U
authors.lastname: Seitz
authors.forename: P
authors.initials: P
authors.lastname: Bertschinger
authors.forename: J
authors.initials: J
authors.lastname: Altorfer
authors.forename: N
authors.initials: N
authors.lastname: Soehendra
mesh_terms: D018784:Abdominal Abscess / Q000473:pathology / Q000601:surgery*; D003646:Debridement / Q000295:instrumentation / Q000379:methods; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D019723:Endoscopes; D019160:Endosonography; D006801:Humans; D009336:Necrosis / Q000382:microbiology / Q000601:surgery