Current Best Practices of Interventional EUSEndoscopic Ultrasound-Guided Abscess Drainage
Section snippets
Instruments and materials
A clear understanding of the anatomy of the abdomen or pelvis and its relationship to the abscess is important before embarking on drainage. In all patients, a dedicated magnetic resonance imaging or computed tomographic (CT) imaging should initially be performed to ascertain their underlying nature and confirm that these abscesses are in close proximity to the GI lumen. Abscesses that are multiloculated measure less than 4 cm in size, have immature walls (without a definitive rim), are located
Summary
EUS-guided drainage is an effective treatment modality for the management of abdominal or pelvic abscesses that are not amenable to conventional therapy and in critically ill patients. The preliminary data are promising, and the safety profile of the technique appears excellent. Dedicated one-step devices are needed to make EUS the mainstream treatment modality for management of these complex patients.
References (26)
- et al.
Graded dilation technique for EUS-guided drainage of peripancreatic fluid collections: an assessment of outcomes and complications and technical proficiency (with video)
Gastrointest Endosc
(2008) - et al.
Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts (with videos)
Gastrointest Endosc
(2008) - et al.
Role of EUS in drainage of peripancreatic fluid collections not amenable for endoscopic transmural drainage
Gastrointest Endosc
(2007) EUS followed by endoscopic pancreatic pseudocyst drainage or all-in-one procedure: a review of basic techniques (with video)
Gastrointest Endosc
(2009)- et al.
Single-step EUS-guided transmural drainage of simple and complicated pancreatic pseudocysts
Gastrointest Endosc
(2006) - et al.
Wire-guided pancreatic pseudocyst drainage by using a modified needle knife and therapeutic echoendoscope
Gastrointest Endosc
(2006) - et al.
EUS-guided transesophageal pancreatic pseudocyst drainage
Gastrointest Endosc
(2000) - et al.
EUS-guided transesophageal drainage of peripancreatic fluid collections
Gastrointest Endosc
(2009) - et al.
EUS-guided drainage of pelvic abscess
Gastrointest Endosc
(2007) - et al.
Modified technique for EUS-guided drainage of pelvic abscess (with video)
Gastrointest Endosc
(2008)
Effectiveness of EUS in drainage of pelvic abscesses in 25 consecutive patients (with video)
Gastrointest Endosc
EUS-guided drainage of bilomas: a new alternative?
Gastrointest Endosc
EUS-guided transesophageal, transgastric, and transcolonic drainage of intra-abdominal fluid collections and abscesses
Gastrointest Endosc
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2021, Endoscopic UltrasoundStenting for Pancreatic Walled-Off Necrosis (WON)
2021, Innovations in Gastrointestinal EndoscopyClinical update on the role of EUS in pelvic abscess
2020, Practical Gastroenterology
Disclosures: Ganapathy Prasad: None. Shyam Varadarajulu: Consultant, Boston Scientific Corporation and Olympus Medical Systems Corporation.