Endoscopic ultrasound-guided drainage of abdominal abscesses and infected necrosis

S. Seewald; T. L. Ang; K. Y. K. Teng; S. Groth; Y. Zhong; H. Richter; H. Imazu; S. Omar; L. Polese; U. Seitz; P. Bertschinger; J. Altorfer; N. Soehendra

doi:10.1055/s-0028-1119501

Endoscopy 2009; 41(2): 166-174
DOI: 10.1055/s-0028-1119501

Innovation Forum

Endoscopic ultrasound-guided drainage of abdominal abscesses and infected necrosis

S. Seewald¹ , T. L. Ang² , K. Y. K. Teng³ , S. Groth³ , Y. Zhong³ , H. Richter³ , H. Imazu⁴ , S. Omar³ , L. Polese³ , U. Seitz³ , P. Bertschinger¹ , J. Altorfer¹ , N. Soehendra³

¹Center of Gastroenterology, Klinik Hirslanden Zurich, Switzerland
²Division of Gastroenterology, Changi General Hospital, Singapore
³Department of Interdisciplinary Endoscopy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
⁴Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan

Abstract

Traditionally abdominal abscesses have been treated with either surgical or radiologically guided percutaneous drainage. Surgical drainage procedures may be associated with considerable morbidity and mortality, and serious complications may also arise from percutaneous drainage. Endoscopic ultrasound (EUS)-guided drainage of well-demarcated abdominal abscesses, with adjunctive endoscopic debridement in the presence of solid necrotic debris, has been shown to be feasible and safe. This multicenter review summarizes the current status of the EUS-guided approach, describes the available and emerging techniques, and highlights the indications, limitations, and safety issues.

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S. SeewaldMD

Center of Gastroenterology
Klinik Hirslanden

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Email: stefan.seewald@gastrozentrum.ch