Authors: Jintao Guo Linlin Feng Siyu Sun Nan Ge Xiang Liu Sheng Wang Guoxin Wang Beibei Sun
Publish Date: 2016/01/22
Volume: 30, Issue: 7, Pages: 3114-3120
Abstract
Endoscopic ultrasonography EUSguided drainage is widely used for the treatment of specific types of peripancreatic fluid collections PFCs Infectious complications have been reported It is recommended that the infection rate should be assessed by measuring risk factors The objectives of this study were to measure whether the risk of infection after EUSguided drainage was associated with patient and procedurerelated factorsEightythree patients were eligible for inclusion from September 2008 to November 2012 EUSguided drainage was performed in all patients Infectious complications were observed and data on patient and procedurerelated factors were collected Patientrelated factors mainly included age sex etiology of PFC and cyst location and diameter Procedurerelated factors mainly included approach of EUSguided drainage and stent diameter Separate multivariate logistic regression models for all EUSguided drainage were carried outComplete EUSguided drainage was achieved in all patients A definitive diagnosis of infection after EUSguided drainage was made in seven patients All seven patients had a history of acute pancreatitis and the cyst diameters were all 15 cm Three patients had diabetes mellitusPFC may complicate the course of pancreatitis pancreatic surgery or trauma Several treatment options are available including surgery external percutaneous drainage and internal endoscopic drainage EUSguided drainage of PFC is a minimally invasive procedure and has become standard therapy worldwide for pancreatic pseudocyst and pancreatic walledoff necrosis 1 2Infection is one of the common complications after EUSguided drainage and it can prolong disease duration and increase length of hospital stay The fever caused by infection can cause an imbalance in energy consumption and water and electrolyte balance In the present study we focused on the risk of infection after EUSguided drainage Our objectives were to measure whether the risk of infection after EUSguided drainage was associated with patient and procedurerelated factors
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