Could Transgastric Endoscopic Ultrasound-Guided Aspiration Alone Be Effective for the Treatment of Pancreatic Abscesses?

Clin Endosc. 2015 Jul;48(4):345-7. doi: 10.5946/ce.2015.48.4.345. Epub 2015 Jul 24.

Abstract

Drainage of pancreatic abscesses is required for effective control of sepsis. Endoscopic ultrasound (EUS)-guided endoscopic drainage is less invasive than surgery and prevents local complications related to percutaneous drainage. Endoscopic drainage with stent placement in the uncinate process of the pancreas is a technically difficult procedure. We report a case of pancreatic abscess treated by repeated EUS-guided aspiration and intravenous antibiotics without an indwelling drainage catheter or surgical intervention.

Keywords: Endoscopic drainage; Endoscopic ultrasound-guided fine needle aspiration; Pancreatic abscess.