RT Journal Article
SR Electronic
T1 Interventional radiology-assisted transgastric endoscopic drainage of peripancreatic fluid collections
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP E254
OP E256
DO 10.1503/cjs.003019
VO 63
IS 3
A1 Jeffrey Hawel
A1 Heather McFadgen
A1 Riley Stewart
A1 Tarek El-Ghazaly
A1 Abdulrahim Alawashez
A1 James Ellsmere
YR 2020
UL http://canjsurg.ca/content/63/3/E254.abstract
AB Peripancreatic fluid collections (PFCs) occur as a consequence of pancreatitis. Most PFCs resolve spontaneously, although 1%–2% persist and may require intervention. Conventional transluminal endoscopic drainage methods require the PFC to be bulging into the gastric wall; however, it is not uncommon for this to be absent. Imaging guidance for transluminal endoscopic PFC drainage allows the endoscopist to localize nonbulging pseudocysts that cannot be localized using endoscopy alone, to identify and avoid vascular structures between the cyst and the gastric lumen, and to reveal solid or necrotic components within the pseudocyst cavity. Although endoscopic ultrasound (EUS) has been used to meet this need, timely access to therapeutic EUS remains a limiting factor at many centres. We report our technique and experience performing transgastric endoscopic drainage of PFCs under computed tomography (CT) interventional radiology guidance.