Endoscopic ultrasound-guided versus conventional transmural techniques have comparable treatment outcomes in draining pancreatic pseudocysts
N Panamonta, S Ngamruengphong… - European journal of …, 2012 - journals.lww.com
We carried out the first meta-analysis comparing the technical success and clinical
outcomes of endoscopic ultrasound-guided drainage (EUD) and conventional transmural
drainage (CTD) for pancreatic pseudocysts. We searched PubMed, Embase, Scopus, and
the Cochrane library to identify relevant prospective trials. The technical success rate, short-
term (4–6 weeks) success, and long-term (at 6 months) success in symptoms and the
radiologic resolution of pseudocysts, complication rates, and death rates were compared …
outcomes of endoscopic ultrasound-guided drainage (EUD) and conventional transmural
drainage (CTD) for pancreatic pseudocysts. We searched PubMed, Embase, Scopus, and
the Cochrane library to identify relevant prospective trials. The technical success rate, short-
term (4–6 weeks) success, and long-term (at 6 months) success in symptoms and the
radiologic resolution of pseudocysts, complication rates, and death rates were compared …
Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts: a prospective randomized trial
Results: The rate of technical success of the drainage was higher for EUD (94%, 29/31) than
for CTD (72%, 21/29; P= 0.039) in intention-to-treat analysis. In cases where CTD failed (n=
8), because the pseudocysts were nonbulging, a crossover was made to EUD, which was
successfully performed in all these patients. Complications occurred in 7% of the EUD and
10% of the CTD group (P= 0.67). During short-term follow-up, pseudocyst resolution was
achieved in 97%(28/29) in the EUD group and in 91%(19/21) in the CTD group (P= 0.565) …
for CTD (72%, 21/29; P= 0.039) in intention-to-treat analysis. In cases where CTD failed (n=
8), because the pseudocysts were nonbulging, a crossover was made to EUD, which was
successfully performed in all these patients. Complications occurred in 7% of the EUD and
10% of the CTD group (P= 0.67). During short-term follow-up, pseudocyst resolution was
achieved in 97%(28/29) in the EUD group and in 91%(19/21) in the CTD group (P= 0.565) …
