Stent selection of endoscopic ultrasound-guided transgastric drainage for pancreatic pseudocysts
10.3760/cma.j.cn321463-20210617-00145
- VernacularTitle:内镜超声治疗胰腺假性囊肿内引流支架的选择
- Author:
Zhengfeng WANG
1
;
Haofei CHEN
;
Liang SHENG
;
Yingli HE
;
Fangzhao WANG
;
Lei ZHANG
;
Wence ZHOU
Author Information
1. 兰州大学第一医院普外科，兰州 730000
- Keywords:
Pancreatic pseudocyst;
Endosonography;
Drainage;
Stents
- From:
Chinese Journal of Digestive Endoscopy
2022;39(8):641-644
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the drainage efficacy of different types of plastic stents in endoscopic ultrasound (EUS)-guided transgastric drainage for pancreatic pseudocysts.Methods:Clinical data of patients with pancreatic pseudocyst who underwent EUS-guided transgastric drainage in the surgical endoscopic center of the First Hospital of Lanzhou University from March 2014 to December 2020 were retrospectively analyzed. Patients were divided into the 10 F double plastic stents group and the 7 F double plastic stents group. The drainage efficacy, complications and long-term outcomes of the two groups were compared.Results:A total of 29 patients were included, 11 in the 10 F double plastic stents group and 18 others in the 7 F double plastic stents group. The operation time of the two groups was 48.2±8.0 min and 34.7±5.8 min, respectively, showing significant difference ( t=5.24, P<0.001). There was no significant difference in the incidence of postoperative complications such as abdominal pain [18.2% (2/11) VS 5.6% (1/18)], fever [9.1% (1/11) VS 11.1% (2/18)] or bleeding (both none) between the two groups (all P>0.05). Two months after the operation, abdominal CT scan showed that the complete disappearance rates of cysts cavity in the 10 F and 7 F groups were 90.9% (10/11) and 88.9% (16/18), respectively, with no significant difference ( P=1.00). Conclusion:There are similar drainage effect and postoperative complications rates between the 7 F and the 10 F plastic stent in EUS-guided transgastric drainage for pancreatic pseudocysts. However, operation with the 7 F stent is more convenient for a shorter time, which is worth of clinical promotion.
