Current Best Practices of Interventional EUS
Endoscopic Ultrasound-Guided Abscess Drainage

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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.

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Disclosures: Ganapathy Prasad: None. Shyam Varadarajulu: Consultant, Boston Scientific Corporation and Olympus Medical Systems Corporation.

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