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자료유형
학술저널
저자정보
Puneet Chhabra (Southampton General Hospital) Ben Maher (Southampton General Hospital) Dharmadev Trivedi (Southampton General Hospital) Dimitrios Karavias (Southampton General Hospital) Ali Arshad (Southampton General Hospital) Mark Wright (Southampton General Hospital) Nadeem Tehami (Southampton General Hospital)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제25권 제4호
발행연도
2021.11
수록면
500 - 508 (9page)

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Backgrounds/Aims: Post-operative pancreatic fistulas (POPF) and fluid collections (POPFC) remain significant sources of morbidity and mortality after pancreatic resections. There remains a paucity of literature describing endoscopic ultrasound (EUS) guided drainage of POPFC using a Hot AXIOS<SUP>TM</SUP> lumen apposing metal stent (LAMS).
Methods: We conducted a retrospective study, encompassing all consecutive patients with POPFC managed using Hot AXIOS<SUP>TM</SUP> LAMS at our institution between January 2017 and December 2019. Primary outcome measures were technical and clinical success. Secondary outcome measures were adverse events and recurrence rates.
Results: Five patients underwent EUS guided drainage using Hot AXIOSTM LAMS during the study period. Mean age of patients was 67.8 ± 2.16 years. The majority (60.0%) of patients were males. Median duration of symptom onset after surgery was 9 days. All patients presented with abdominal pain. Median size of the collection measured on computed tomography was 91 mm. Median interval time between symptom onset and EUS drainage was 30 days. Two patients required percutaneous drainage prior to EUS guided drainage. Technical and clinical success were achieved for all patients. No adverse events were observed. Median duration of follow-up was 90 days. No recurrence of collection occurred during the follow-up period.
Conclusions: EUS guided drainage of POPFC using Hot AXIOS<SUP>TM</SUP> LAMS is a safe and effective treatment modality with technical and clinical success rates of 100% in our experience.

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INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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