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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 480 - 486 (7page)
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Background/Aims: Endoscopic ultrasound-guided transmural drainage and necrosectomy employing lumen-apposing metal stent(LAMS) are used for treating pancreatic fluid collections (PFCs) with excellent results from academic centers. Herein, we report theeffcacy and safety of LAMS in the treatment of PFCs at a community hospital. Methods: We retrospectively reviewed the etiology of pancreatitis, type and size of PFCs, length of procedure, technical success,clinical success, adverse events, and stent removal. The primary outcome was the rate of clinical success, and secondary outcomes weretechnical success and adverse events. Results: Twenty-seven patients with a mean age of 54.1±6.5 years were included, 44% of which were men. The mean size of the PFCswas 9.7±5.0 cm (range, 3?21). The most common etiology of pancreatitis was alcohol (44%) followed by idiopathic causes (30%) andpresence of gallstones (22%). The diagnosis was pseudocyst in 44.4% (12/27) and walled off necrosis in 55.6% (15/27) of patients. Therewas 100% technical success without any complications. Clinical success was achieved in 22 of 27 patients (81.5%) who underwent stentremoval. Conclusions: Our study is the first to report that endoscopic therapy of PFCs using LAMS is safe and effective even in a communityhospital setting with limited resources and support compared to large academic centers.
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참고문헌 (21)
참고문헌 신청
Banks PA / 2013 / Classification of acute pancreatitis--2012 : revision of the Atlanta classification and definitions by international consensus / Gut 62:102~111
Varadarajulu S / 2013 / Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial / Gastroenterology 145:583~590.e1
Varadarajulu S / 2008 / Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts(with videos) / Gastrointest Endosc 68:1102~1111
Park DH / 2009 / Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts : a prospective randomized trial / Endoscopy 41:842~848
Mohan BP / 2019 / Adverse events with lumen-apposing metal stents in endoscopic gallbladder drainage : a systematic review and meta-analysis / Endosc Ultrasound 8:241~248
Varadarajulu S / 2013 / Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial / Gastroenterology 145:583~590.e1
Varadarajulu S / 2008 / Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts(with videos) / Gastrointest Endosc 68:1102~1111
Park DH / 2009 / Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts : a prospective randomized trial / Endoscopy 41:842~848
Mohan BP / 2019 / Adverse events with lumen-apposing metal stents in endoscopic gallbladder drainage : a systematic review and meta-analysis / Endosc Ultrasound 8:241~248
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