title: Endoscopic ultrasound-guided drainage of postoperative intra-abdominal abscesses.
abstract: Although endoscopic ultrasound (EUS)-guided drainage has become the standard procedure for pancreatic pseudocysts in recent years and is generally regarded as a safe and effective method, there have been few reports of EUS-guided drainage of postoperative intra-abdominal abscesses. Here we report our experience with 4 cases of postoperative intra-abdominal abscesses for which EUS-guided drainage was performed between May 2011 and May 2014. Distal pancreatectomy had been performed in 3 cases, whereas low anterior resection for rectal cancer was performed in the remaining case. All patients underwent transgastric naso-cystic drainage, which resulted in clinical improvement without complications, even when performed within 4 wk after surgery. On average, the naso-cystic drain was removed 10 d after placement, with no abscess recurrence. Based on these findings, we believe that EUS-guided drainage of postoperative intra-abdominal abscesses is a safe and effective method, although further large-scale investigations are required to confirm our findings.
authors: Koichiro Mandai, Koji Uno, Kenjiro Yasuda, Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kamigyo-ku, Kyoto 602-8026, Japan.
authors: Koichiro
authors: K
authors: Mandai
authors: Koichiro Mandai, Koji Uno, Kenjiro Yasuda, Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kamigyo-ku, Kyoto 602-8026, Japan.
authors: Koji
authors: K
authors: Uno
authors: Koichiro Mandai, Koji Uno, Kenjiro Yasuda, Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kamigyo-ku, Kyoto 602-8026, Japan.
authors: Kenjiro
authors: K
authors: Yasuda
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D019160:Endosonography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects*; D010190:Pancreatic Neoplasms / Q000473:pathology*; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Endoscopic ultrasonography; Endoscopic ultrasound-guided drainage; Naso-cystic drainage; Postoperative intra-abdominal abscess; Transgastric drainage