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

Mohammad Al Efishat, Marc A. Attiyeh, Anne A. Eaton, Mithat Gönen, Anne M. Covey, Michael I. D'Angelica, Ronald P. DeMatteo, T. Peter Kingham, Vinod Balachandran, William R. Jarnagin, Hans Gerdes, Peter J. Allen, Mark A. Schattner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)434-443
Number of pages10
JournalHPB
Volume21
Issue number4
DOIs
StatePublished - Apr 2019
Externally publishedYes

Bibliographical note

Funding Information:
Supported in part by Marshall and Therese Sonenshine Foundation .

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

Fingerprint Dive into the research topics of 'Endoscopic versus percutaneous drainage of post-operative peripancreatic fluid collections following pancreatic resection'. Together they form a unique fingerprint.

Cite this