Role of interventional endoscopic ultrasound in a developing country.

Drainage Endoscopic ultrasound-guided fine needle aspiration Endosonography Gastrointestinal endosocopy

Journal

Clinical endoscopy
ISSN: 2234-2400
Titre abrégé: Clin Endosc
Pays: Korea (South)
ID NLM: 101576886

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 27 01 2022
accepted: 16 02 2022
pubmed: 17 1 2023
medline: 17 1 2023
entrez: 16 1 2023
Statut: ppublish

Résumé

Endoscopic ultrasound (EUS) has become an essential diagnostic and therapeutic tool. EUS was introduced in 2013 in Indonesia and is considered relatively new. This study aimed to describe the current role of interventional EUS at our hospital as a part of the Indonesian tertiary health center experience. This retrospective study included all patients who underwent interventional EUS (n=94) at our center between January 2015 and December 2020. Patient characteristics, technical success, clinical success, and adverse events associated with each type of interventional EUS procedure were evaluated. Altogether, 94 interventional EUS procedures were performed at our center between 2015 and 2020 including 75 cases of EUS-guided biliary drainage (EUS-BD), 14 cases of EUS-guided pancreatic fluid drainage, and five cases of EUS-guided celiac plexus neurolysis. The technical and clinical success rates of EUS-BD were 98.6% and 52%, respectively. The technical success rate was 100% for both EUS-guided pancreatic fluid drainage and EUS-guided celiac plexus neurolysis. The adverse event rates were 10.6% and 7.1% for EUS-BD and EUS-guided pancreatic fluid drainage, respectively. EUS is an effective and safe tool for the treatment of gastrointestinal and biliary diseases. It has a low rate of adverse events, even in developing countries.

Sections du résumé

BACKGROUND/AIMS OBJECTIVE
Endoscopic ultrasound (EUS) has become an essential diagnostic and therapeutic tool. EUS was introduced in 2013 in Indonesia and is considered relatively new. This study aimed to describe the current role of interventional EUS at our hospital as a part of the Indonesian tertiary health center experience.
METHODS METHODS
This retrospective study included all patients who underwent interventional EUS (n=94) at our center between January 2015 and December 2020. Patient characteristics, technical success, clinical success, and adverse events associated with each type of interventional EUS procedure were evaluated.
RESULTS RESULTS
Altogether, 94 interventional EUS procedures were performed at our center between 2015 and 2020 including 75 cases of EUS-guided biliary drainage (EUS-BD), 14 cases of EUS-guided pancreatic fluid drainage, and five cases of EUS-guided celiac plexus neurolysis. The technical and clinical success rates of EUS-BD were 98.6% and 52%, respectively. The technical success rate was 100% for both EUS-guided pancreatic fluid drainage and EUS-guided celiac plexus neurolysis. The adverse event rates were 10.6% and 7.1% for EUS-BD and EUS-guided pancreatic fluid drainage, respectively.
CONCLUSION CONCLUSIONS
EUS is an effective and safe tool for the treatment of gastrointestinal and biliary diseases. It has a low rate of adverse events, even in developing countries.

Identifiants

pubmed: 36646497
pii: ce.2022.058
doi: 10.5946/ce.2022.058
pmc: PMC9902691
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100-106

Références

J Hepatobiliary Pancreat Sci. 2014 May;21(5):328-34
pubmed: 24026963
Diagn Ther Endosc. 2013;2013:924291
pubmed: 23554548
Med Sci Monit. 2019 Aug 04;25:5785-5794
pubmed: 31377748
World J Gastrointest Endosc. 2017 Oct 16;9(10):499-505
pubmed: 29085560
Am J Gastroenterol. 2018 Jul;113(7):987-997
pubmed: 29961772
Diagn Ther Endosc. 2017;2017:4856276
pubmed: 29180841
J Gastrointest Cancer. 2019 Sep;50(3):469-477
pubmed: 29656352
Clin Endosc. 2018 May;51(3):235-238
pubmed: 28719966
Surg Endosc. 2016 Sep;30(9):3730-40
pubmed: 26675934
Dig Dis Sci. 2009 Nov;54(11):2330-7
pubmed: 19137428
J Clin Med. 2020 Nov 08;9(11):
pubmed: 33171627
Dig Liver Dis. 2019 Nov;51(11):1557-1561
pubmed: 31272934
World J Gastrointest Endosc. 2017 Sep 16;9(9):486-493
pubmed: 28979714
J Clin Gastroenterol. 2010 Feb;44(2):127-34
pubmed: 19826273
Endosc Ultrasound. 2018 Jan-Feb;7(1):4-9
pubmed: 29451164
Endoscopy. 2011 Sep;43(9):826-30
pubmed: 21833899
World J Gastrointest Endosc. 2015 Jun 10;7(6):628-42
pubmed: 26078831

Auteurs

Hasan Maulahela (H)

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Nagita Gianty Annisa (NG)

Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.

Achmad Fauzi (A)

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Kaka Renaldi (K)

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Murdani Abdullah (M)

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Marcellus Simadibrata (M)

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Dadang Makmun (D)

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Ari Fahrial Syam (AF)

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Classifications MeSH