Endoscopic versus percutaneous drainage of post-operative peripancreatic fluid collections following pancreatic resection.

Published

Journal Article

BACKGROUND: Post-operative peripancreatic fluid collection (PFC) is a common complication following pancreatic resection which can be managed with endoscopic or percutaneous drainage. METHODS: Patients who underwent either endoscopic or percutaneous drainage of post-operative PFC were extracted from a prospectively-maintained database. The two groups were matched for surgery type, presence of a surgical drain and timing of drainage. RESULTS: Thirty-nine matched patients were identified in each group with a median age of 62 years. For primary drainage, technical success was achieved in almost all patients in both endoscopic and percutaneous groups (100% and 97%, p = NS); clinical success was achieved in 67% and 59%, respectively (p = 0.63). At least one "salvage" drainage procedure was required in 13 endoscopic patients versus 16 in the percutaneous group. Clinical success was achieved following the first salvage. Procedure in 85% of the endoscopic patients and 88% of the percutaneous patients (p = 0.62). Stent/drain duration (59 vs 33 days, p < 0.001) and number of post-procedural CT studies (2 vs 1, p = 0.02) were significantly higher in the endoscopic group. There was no difference in length of stay, complication, or recurrence between the two groups. CONCLUSION: Endoscopic drainage of post-operative PFC appears to be safe and effective with comparable success rates and outcomes to percutaneous drainage.

Full Text

Duke Authors

Cited Authors

  • Al Efishat, M; Attiyeh, MA; Eaton, AA; Gönen, M; Covey, AM; D'Angelica, MI; DeMatteo, RP; Kingham, TP; Balachandran, V; Jarnagin, WR; Gerdes, H; Allen, PJ; Schattner, MA

Published Date

  • April 2019

Published In

Volume / Issue

  • 21 / 4

Start / End Page

  • 434 - 443

PubMed ID

  • 30293867

Pubmed Central ID

  • 30293867

Electronic International Standard Serial Number (EISSN)

  • 1477-2574

Digital Object Identifier (DOI)

  • 10.1016/j.hpb.2018.08.010

Language

  • eng

Conference Location

  • England