Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review
Abstract Background An intra-abdominal abscess can sometimes become serious and difficult to treat. The current standard treatment strategy for intra-abdominal abscess is percutaneous imaging-guided drainage. However, in cases of subphrenic abscess, it is important to avoid passing the drainage rout...
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doaj-b84a31fcf6434926aa6abab38b008ff72020-11-25T03:17:13ZengBMCBMC Gastroenterology1471-230X2018-04-011811910.1186/s12876-018-0782-2Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature reviewShinichi Morita0Kenya Kamimura1Takeshi Suda2Chiyumi Oda3Takahiro Hoshi4Tsutomu Kanefuji5Kazuyoshi Yagi6Shuji Terai7Department of Gastroenterology and Hepatology, Uonuma institute of Community Medicine Niigata University HospitalDivision of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata UniversityDepartment of Gastroenterology and Hepatology, Uonuma institute of Community Medicine Niigata University HospitalDepartment of Gastroenterology and Hepatology, Uonuma institute of Community Medicine Niigata University HospitalDepartment of Gastroenterology and Hepatology, Uonuma institute of Community Medicine Niigata University HospitalDepartment of Gastroenterology and Hepatology, Uonuma institute of Community Medicine Niigata University HospitalDepartment of Gastroenterology and Hepatology, Uonuma institute of Community Medicine Niigata University HospitalDivision of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata UniversityAbstract Background An intra-abdominal abscess can sometimes become serious and difficult to treat. The current standard treatment strategy for intra-abdominal abscess is percutaneous imaging-guided drainage. However, in cases of subphrenic abscess, it is important to avoid passing the drainage route through the thoracic cavity, as this can lead to respiratory complications. The spread of intervention techniques involving endoscopic ultrasonography (EUS) has made it possible to perform drainage via the transmural route. Case presentation We describe two cases of subphrenic abscess that occurred after intra-abdominal surgery. Both were treated successfully by EUS-guided transmural drainage (EUS-TD) without severe complications. Our experience of these cases and a review of the literature suggest that the drainage catheters should be placed both internally and externally together into the abscess cavity. In previous cases there were no adverse events except for one case of mediastinitis and pneumothorax resulting from transesophageal drainage. Therefore, we consider that the transesophageal route should be avoided if possible. Conclusions Although further studies are necessary, our present two cases and a literature review suggest that EUS-TD is feasible and effective for subphrenic abscess, and not inferior to other treatments. We anticipate that this report will be of help to physicians when considering the drainage procedure for this condition. As there have been no comparative studies to date, a prospective study involving a large number of patients will be necessary to determine the therapeutic options for such cases.http://link.springer.com/article/10.1186/s12876-018-0782-2Endoscopic ultrasound-guided transmural drainageSubphrenic abscessIntra-abdominal abscessEUS |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shinichi Morita Kenya Kamimura Takeshi Suda Chiyumi Oda Takahiro Hoshi Tsutomu Kanefuji Kazuyoshi Yagi Shuji Terai |
spellingShingle |
Shinichi Morita Kenya Kamimura Takeshi Suda Chiyumi Oda Takahiro Hoshi Tsutomu Kanefuji Kazuyoshi Yagi Shuji Terai Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review BMC Gastroenterology Endoscopic ultrasound-guided transmural drainage Subphrenic abscess Intra-abdominal abscess EUS |
author_facet |
Shinichi Morita Kenya Kamimura Takeshi Suda Chiyumi Oda Takahiro Hoshi Tsutomu Kanefuji Kazuyoshi Yagi Shuji Terai |
author_sort |
Shinichi Morita |
title |
Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review |
title_short |
Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review |
title_full |
Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review |
title_fullStr |
Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review |
title_full_unstemmed |
Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review |
title_sort |
endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review |
publisher |
BMC |
series |
BMC Gastroenterology |
issn |
1471-230X |
publishDate |
2018-04-01 |
description |
Abstract Background An intra-abdominal abscess can sometimes become serious and difficult to treat. The current standard treatment strategy for intra-abdominal abscess is percutaneous imaging-guided drainage. However, in cases of subphrenic abscess, it is important to avoid passing the drainage route through the thoracic cavity, as this can lead to respiratory complications. The spread of intervention techniques involving endoscopic ultrasonography (EUS) has made it possible to perform drainage via the transmural route. Case presentation We describe two cases of subphrenic abscess that occurred after intra-abdominal surgery. Both were treated successfully by EUS-guided transmural drainage (EUS-TD) without severe complications. Our experience of these cases and a review of the literature suggest that the drainage catheters should be placed both internally and externally together into the abscess cavity. In previous cases there were no adverse events except for one case of mediastinitis and pneumothorax resulting from transesophageal drainage. Therefore, we consider that the transesophageal route should be avoided if possible. Conclusions Although further studies are necessary, our present two cases and a literature review suggest that EUS-TD is feasible and effective for subphrenic abscess, and not inferior to other treatments. We anticipate that this report will be of help to physicians when considering the drainage procedure for this condition. As there have been no comparative studies to date, a prospective study involving a large number of patients will be necessary to determine the therapeutic options for such cases. |
topic |
Endoscopic ultrasound-guided transmural drainage Subphrenic abscess Intra-abdominal abscess EUS |
url |
http://link.springer.com/article/10.1186/s12876-018-0782-2 |
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