Futagawa Y, et al. – This study aimed at assessing the feasibility and usefulness of endoscopic ultrasound–guided transgastric drainage (EUS–GD) in patients who required early postoperative drainage of peripancreatic fluid collection or postoperative pancreatic fistulas after pancreatic surgery. Findings suggested EUS–GD as a safe and useful method for early drainage, which could be a good alternative to percutaneous drainage (PTD) .

Methods

• 33 patients who developed peripancreatic fluid collection or postoperative pancreatic fistulas after pancreatic resection underwent EUS-GD or PTD from May 2012 to January 2016.
• Researchers compared outcomes retrospectively.

Results

• In the EUS-GD group, the drainage procedures were performed on postoperative day 4 to 71 (median, 12), and in the PTD group, it was performed on postoperative day 7 to 35 (median, 14).
• In the EUS-GD group, technical and clinical success rates reached 92% (11/12) compared to 100% (21/21) in the PTD group with no complications or mortality.
• In this study, the duration of hospital stay after drainage was 10 to 44 (median, 15) days for EUS-GD, compared with 10 to 39 (median, 21) days for PTD.