Management of Postoperative Pancreatic Fluid Collection and Role of Endoscopy: A Case Series and Review of the Literature

<b>Background:</b> Postoperative fluid collections (POFCs) after abdominal surgeries, particularly pancreatic surgeries, are associated with high morbidity and mortality rates and were historically managed with surgical re-exploration and drainage. In particular, postoperative pancreatic fluid collections (PPFCs) are the most common complications after pancreatic surgery resulting from pancreatic leaks. They occur in up to 50% of cases, and approximately 10% of them need to be drained to avoid further sequelae. Endoscopic ultrasonography (EUS)-guided drainage of PPFCs represents the first-line treatment nowadays, but many aspects are still debated. <b>Methods:</b> We describe a retrospective case series of patients from multiple Italian centers who underwent EUS-guided drainage (EUS-D) of POFCs, aiming to provide data on the efficacy and safety of this procedure, supported by a review of the existing literature on this topic. The primary outcomes were technical and clinical success, and the secondary outcomes were the type and rate of adverse events (AEs) and the rate of recurrence. <b>Results:</b> A total of 47 patients were included. The procedure demonstrated a technical success rate of 98% (46/47) and a clinical success rate of 96% (45/47). The rate of AEs was 11% (5/47), represented by bleeding (3/5), stent occlusion (1/5), and buried syndrome (1/5). <b>Conclusions:</b> Management of POFCs has shifted over time towards an endoscopic approach with optimal efficacy and safety.

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Journal
Diagnostics
Published
2025-05-15
DOI
https://doi.org/10.3390/diagnostics15101258
Citations
1
Primary Topic
Pancreatic and Hepatic Oncology Research
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article
Field-Weighted Citation Impact
1.05
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article

Management of Postoperative Pancreatic Fluid Collection and Role of Endoscopy: A Case Series and Review of the Literature

Edoardo Forti, Stefano Francesco Crinò, Antonio Facciorusso, Alessandro Fugazza et al.
1 citations
Diagnostics
Pancreatic and Hepatic Oncology Research
1.05
article

Management of Postoperative Pancreatic Fluid Collection and Role of Endoscopy: A Case Series and Review of the Literature

Edoardo Forti, Stefano Francesco Crinò, Antonio Facciorusso, Alessandro Fugazza, Cecilia Binda, Maria Chiara Petrone, Mario Luciano Brancaccio, Mauro Lovera, Roberto Di Mitri, Andrea A. Anderloni, Carlo Fabbri, Chiara Coluccio, Fabia Attili, Arnaldo Amato, Ilaria Tarantino, Germana de Nucci, C.G. De Angelis, A. Redaelli, Davide Trama
article en
1 citations

Abstract

<b>Background:</b> Postoperative fluid collections (POFCs) after abdominal surgeries, particularly pancreatic surgeries, are associated with high morbidity and mortality rates and were historically managed with surgical re-exploration and drainage. In particular, postoperative pancreatic fluid collections (PPFCs) are the most common complications after pancreatic surgery resulting from pancreatic leaks. They occur in up to 50% of cases, and approximately 10% of them need to be drained to avoid further sequelae. Endoscopic ultrasonography (EUS)-guided drainage of PPFCs represents the first-line treatment nowadays, but many aspects are still debated. <b>Methods:</b> We describe a retrospective case series of patients from multiple Italian centers who underwent EUS-guided drainage (EUS-D) of POFCs, aiming to provide data on the efficacy and safety of this procedure, supported by a review of the existing literature on this topic. The primary outcomes were technical and clinical success, and the secondary outcomes were the type and rate of adverse events (AEs) and the rate of recurrence. <b>Results:</b> A total of 47 patients were included. The procedure demonstrated a technical success rate of 98% (46/47) and a clinical success rate of 96% (45/47). The rate of AEs was 11% (5/47), represented by bleeding (3/5), stent occlusion (1/5), and buried syndrome (1/5). <b>Conclusions:</b> Management of POFCs has shifted over time towards an endoscopic approach with optimal efficacy and safety.

DiagnosticsVol. 15(10)
University of Salento (IT), Vita-Salute San Raffaele University (IT), Agostino Gemelli University Polyclinic (IT), Ospedale "Santa Maria delle Croci" di Ravenna (IT), Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT), Azienda Ospedaliera San Gerardo (IT), Azienda-Unita' Sanitaria Locale Di Cesena (IT), Fondazione Poliambulanza Istituto Ospedaliero (IT), Policlinico San Matteo Fondazione (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Ospedale Valduce (IT), IRCCS Humanitas Research Hospital (IT), Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IT), University of Turin (IT)
Good health and well-being
Openalex Percentile: Top 22%
Pancreatic and Hepatic Oncology Research
1.05
DOIOpen Access PDFOpenAlex
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