Endoscopic Ultrasound

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 8  |  Issue : 2  |  Page : 91--98

Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up


Fabrice Caillol1, Sebastien Godat1, Olivier Turrini2, Christophe Zemmour3, Erwan Bories1, Christian Pesenti1, Jean Phillippe Ratone1, Jacques Ewald2, Jean Robert Delpero2, Marc Giovannini1 
1 Endoscopy Unit, Paoli Calmettes Institute, Marseille, France
2 Surgery Unit, Paoli Calmettes Institute, Marseille, France
3 Statistics Unit, Paoli Calmettes Institute, Marseille, France

Correspondence Address:
Dr. Fabrice Caillol
Endoscopy Unit, Paoli Calmettes Institute, Marseille
France

Background and Objectives: Postoperative fluid collection due to pancreatic leak is the most frequent complication after pancreatic surgery. EUS-guided drainage of post-pancreatic surgery fluid collection is the gold standard procedure; however, data on outcomes of this procedure are limited. The primary endpoint of our study was relapse over longterm followup, and the secondary endpoint was the efficiency and safety of EUS-guided drainage of post-pancreatic surgery fluid collection. Patients and Methods: This retrospective study was conducted at a single center from December 2008 to April 2016. Global morbidity was defined as the occurrence of an event involving additional endoscopic procedures, hospitalization, or interventional radiologic or surgical procedures. EUS-guided drainage was considered a clinical failure if surgery was required to treat a relapse after stent removal. Results: Fortyone patients were included. The technical success rate was 100%. Drainage was considered a clinical success in 93% (39/41) of cases. Additionally, 19 (46%) complications were identified as global morbidity. The duration between surgery and EUS-guided drainage was not a significantly related factor for morbidity rate (P = 0.8); however, bleeding due to arterial injuries (splenic artery and gastroduodenal artery) from salvage drainage procedures occurred within 25 days following the initial surgery. There was no difference in survival between patients with and without complications. No relapse was reported during the followup (median: 44.75 months; range: 29.24 to 65.74 months). Conclusion: EUSguided drainage for post-pancreatic surgery fluid collection was efficient with no relapse during longterm followup. Morbidity rate was independent of the duration between the initial surgery and EUS-guided drainage; however, bleeding risk was likely more important in cases of early drainage.


How to cite this article:
Caillol F, Godat S, Turrini O, Zemmour C, Bories E, Pesenti C, Ratone JP, Ewald J, Delpero JR, Giovannini M. Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up.Endosc Ultrasound 2019;8:91-98


How to cite this URL:
Caillol F, Godat S, Turrini O, Zemmour C, Bories E, Pesenti C, Ratone JP, Ewald J, Delpero JR, Giovannini M. Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up. Endosc Ultrasound [serial online] 2019 [cited 2019 Jul 22 ];8:91-98
Available from: http://www.eusjournal.com/article.asp?issn=2303-9027;year=2019;volume=8;issue=2;spage=91;epage=98;aulast=Caillol;type=0