作者
Larissa L Fujii, Mark D Topazian, Barham K Abu Dayyeh, Todd H Baron, Suresh T Chari, Michael B Farnell, Ferga C Gleeson, Christopher J Gostout, Michael L Kendrick, Randall K Pearson, Bret T Petersen, Mark J Truty, Santhi S Vege, Michael J Levy
发表日期
2013/12/1
期刊
Gastrointestinal endoscopy
卷号
78
期号
6
页码范围
854-864. e1
出版商
Mosby
简介
Background
EUS can provide access to the main pancreatic duct (MPD) for therapeutic intervention. The long-term clinical success of EUS-guided MPD interventions is unknown.
Objective
To determine technical and clinical success rates, predictors of success, and long-term outcomes of EUS-guided MPD intervention.
Design
Retrospective, single-center study.
Setting
Tertiary-care referral center.
Patients
Forty-five patients.
Intervention
EUS-guided MPD stent retrieval or placement.
Main Outcome Measurements
Technical and clinical success rates, adverse events, and long-term clinical outcomes.
Results
Among the 45 patients, 37 had undergone failed ERCP, and 29 had surgically altered anatomy. Median follow-up after initial EUS-guided intervention was 23 months. Two patients underwent EUS for stent removal, and EUS-guided MPD stent placement was attempted in 43 patients. Technical success was achieved in …
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