BACKGROUND: Complications of endoscopic transmural drainage of pancreatic fluid collections arise from entry through the gastrointestinal wall. We describe transmural drainage of these collections using the Seldinger technique without electrocautery. METHODS: From January 1995 to September 1997, we attempted endoscopic transmural drainage of 94 consecutive pancreatic fluid collections without EUS guidance (needle-knife entry in 51, Seldinger entry technique in 43). Success of entry and complications were compared. RESULTS: Successful entry was achieved in 95.3% using the Seldinger technique and 92.1% using the needle-knife entry technique (p = NS). Complications of bleeding and perforation were seen in 4.6% of patients in the Seldinger group and 15.7% in the needle-knife entry group. CONCLUSIONS: The Seldinger technique of endoscopic transmural drainage of pancreatic fluid collections appears effective and safer than entry using the needle-knife. Collections as small as 3 cm in diameter can be entered using the Seldinger technique without EUS guidance.
BACKGROUND: Complications of endoscopic transmural drainage of pancreatic fluid collections arise from entry through the gastrointestinal wall. We describe transmural drainage of these collections using the Seldinger technique without electrocautery. METHODS: From January 1995 to September 1997, we attempted endoscopic transmural drainage of 94 consecutive pancreatic fluid collections without EUS guidance (needle-knife entry in 51, Seldinger entry technique in 43). Success of entry and complications were compared. RESULTS: Successful entry was achieved in 95.3% using the Seldinger technique and 92.1% using the needle-knife entry technique (p = NS). Complications of bleeding and perforation were seen in 4.6% of patients in the Seldinger group and 15.7% in the needle-knife entry group. CONCLUSIONS: The Seldinger technique of endoscopic transmural drainage of pancreatic fluid collections appears effective and safer than entry using the needle-knife. Collections as small as 3 cm in diameter can be entered using the Seldinger technique without EUS guidance.
Authors: Alexander A Aghdassi; Julia Mayerle; Matthias Kraft; Andreas W Sielenkämper; Claus-Dieter Heidecke; Markus M Lerch Journal: HPB (Oxford) Date: 2006 Impact factor: 3.647
Authors: Lora Melman; Riad Azar; Kathleen Beddow; L Michael Brunt; Valerie J Halpin; J Christopher Eagon; Margaret M Frisella; Steven Edmundowicz; Sreenivasa Jonnalagadda; Brent D Matthews Journal: Surg Endosc Date: 2008-11-27 Impact factor: 4.584