Endoscopic ultrasound-guided drainage of pancreatic fluid collections with indeterminate adherence using temporary covered metal stents.

摘要: Transenteric drainage of a pancreatic fluid collection (PFC) with poor adherence to the bowel wall risks leakage and perforation. Elimination tract dilation use fully covered self-expanding metal stent (FCSEMS) may improve safety. We evaluated endoscopic ultrasound (EUS)-guided PFCs using one-step access device followed by placement FCSEMS. Eighteen patients (12 males; median age 50) (median size 135 mm) meeting criteria for indeterminate were enrolled. After 7 – 10 days, FCSEMSs removed exchanged double-pigtail stents. When indicated, endoscopy-guided cyst debridement was performed. FCSEMS technically successful in all without complications. Median procedure time 37.5 minutes. Cystgastrostomy resulted dehiscence one patient treated repeat placement. Cyst resolution achieved 78 % patients. enables safe initial adherence.