Is a Delay Necessary in EUS-Guided Drainage of Postoperative Fluid Collections?

Early drainage seems to be safer than previously thought.

Endoscopic approaches have revolutionized the drainage and debridement of a variety of fluid collections, including pancreatic pseudocysts, walled-off pancreatic necrosis, and postoperative fluid collections (POFCs). Endoscopic treatment of these conditions is now first-line therapy. Historically, fluid collections have been allowed to mature for 4 to 6 weeks (or longer) before undergoing drainage. Now, researchers have evaluated whether earlier endoscopic ultrasound (EUS)–guided drainage of POFCs is safe and effective.

The authors retrospectively compared outcomes of early (≤30 days postsurgery) versus delayed (>30 days postsurgery) EUS-guided drainage of POFCs in 75 patients at one center. Forty-two patients (56%) underwent early drainage,…

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Is a Delay Necessary in EUS-Guided Drainage of Postoperative Fluid Collections?

Topics

Reviewing Author