Dataset Information

A preferable modality for the differentiation of peripancreatic fluid collections: Endoscopic ultrasound.

ABSTRACT:

Background and objectives

Peripancreatic fluid collections (PFCs), including walled-off necrosis (WON) and pancreatic pseudocysts (PPCs), are categorized by imaging modalities, including EUS, computed tomography (CT), and magnetic resonance imaging. Our study aimed to evaluate the effectiveness of EUS in differentiating PFCs compared with that of other modalities.

Subjects and methods

Data were collected retrospectively from 99 patients at fourteen centers who were recruited to undergo lumen-apposing metal stent placement to treat PFCs.

Results

PFCs were detected by CT and EUS in 51 WON and 48 PPC patients. The accuracy in differentiating PFCs by EUS was much higher than that of CT (90.9% vs. 50.5%, P < 0.001). The accuracy in identifying WON on EUS was much higher than that on CT (82.4% vs. 13.7%, P < 0.001), while the accuracy in identifying PPC was comparable in these two modalities (89.6% vs. 100%, P > 0.05). WON patients required more times of debridement than PPC patients (P < 0.001).

Conclusion

EUS can categorize symptomatic PFCs with higher accuracy than CT and is a preferred imaging modality to detect solid necrotic debris.

SUBMITTER: Xu N

PROVIDER: S-EPMC9526105 | biostudies-literature | 2022 Jul-Aug

REPOSITORIES: biostudies-literature

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Publications

A preferable modality for the differentiation of peripancreatic fluid collections: Endoscopic ultrasound.

Xu Ning N Li Longsong L Zhao Danqi D Wang Zixin Z Wang Xueting X Wang Runzi R Zeng Yanbo Y Zhang Lei L Zhong Ning N Lv Ying Y Linghu Enqiang E Chai Ningli N

Endoscopic ultrasound 20220701 4

<h4>Background and objectives</h4>Peripancreatic fluid collections (PFCs), including walled-off necrosis (WON) and pancreatic pseudocysts (PPCs), are categorized by imaging modalities, including EUS, computed tomography (CT), and magnetic resonance imaging. Our study aimed to evaluate the effectiveness of EUS in differentiating PFCs compared with that of other modalities.<h4>Subjects and methods</h4>Data were collected retrospectively from 99 patients at fourteen centers who were recruited to un ...[more]

PMID: 35083982

Similar Datasets

Project description:BackgroundThe outcomes of endoscopic ultrasonography-guided drainage (EUSD) in treatment of pancreas fluid collection (PFC) after pancreas surgeries have not been evaluated systematically. The current systematic review and meta-analysis aim to evaluate the outcomes of EUSD in patients with PFC after pancreas surgery and compare it with percutaneous drainage (PCD).MethodsPubMed and Web of Science databases were searched for studies reporting outcomes EUSD in treatment of PFC after pancreas surgeries, from their inception until January 2022. Two meta-analyses were performed: (A) a systematic review and single-arm meta-analysis of EUSD (meta-analysis A) and (B) two-arm meta-analysis comparing the outcomes of EUSD and PCD (meta-analysis B). Pooled proportion of the outcomes in meta-analysis A as well as odds ratio (OR) and mean difference (MD) in meta-analysis B was calculated to determine the technical and clinical success rates, complications rate, hospital stay, and recurrence rate. ROBINS-I tool was used to assess the risk of bias.ResultsThe literature search retrieved 610 articles, 25 of which were eligible for inclusion. Included clinical studies comprised reports on 695 patients. Twenty-five studies (477 patients) were included in meta-analysis A and eight studies (356 patients) were included in meta-analysis B. In meta-analysis A, the technical and clinical success rates of EUSD were 94% and 87%, respectively, with post-procedural complications of 14% and recurrence rates of 9%. Meta-analysis B showed comparable technical and clinical success rates as well as complications rates between EUSD and PCD. EUSD showed significantly shorter duration of hospital stay compared to that of patients treated with PCD.ConclusionEUSD seems to be associated with high technical and clinical success rates, with low rates of procedure-related complications. Although EUSD leads to shorter hospital stay compared to PCD, the certainty of evidence was low in this regard.

Dataset Information

A preferable modality for the differentiation of peripancreatic fluid collections: Endoscopic ultrasound.

Background and objectives

Subjects and methods

Results

Conclusion

Publications

A preferable modality for the differentiation of peripancreatic fluid collections: Endoscopic ultrasound.

Similar Datasets

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