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Pu X, Huang S, Zhang L, Zhang H, Xia H, Zeng X, Lü M, Peng Y, Ren J, Tang X. Endoscopic ultrasound-guided drainage of pelvic abscess: a systematic review and meta-analysis. Expert Rev Gastroenterol Hepatol 2022; 16:993-1002. [PMID: 36170047 DOI: 10.1080/17474124.2022.2130247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND AND OBJECTIVES As an emerging minimally invasive technology, endoscopic ultrasound (EUS) has been reported to treat pelvic abscess instead of surgical or image-guided percutaneous drainage (PCD) under certain conditions. The aim of this study was to assess the efficacy and safety of EUS-guided drainage for patients with pelvic abscesses. METHODS We conducted a comprehensive literature search on PubMed, Embase, Cochrane Library, and Web of Science databases (inception-March 2022). The main outcomes were technical success, clinical success, and complications. Comprehensive meta-analysis software was used to calculate the pooled event rate. RESULTS Twelve studies containing 272 patients were included. These pelvic abscesses most frequently developed after abdominal and pelvic surgery (n = 180, 66.2%), inflammatory bowel disease (n = 32, 11.8%), and other inflammatory conditions. Respectively, the pooled technical and clinical success rate was 100% and 88.7% [95% confidence interval (CI): 83.8-92.2%, I2 = 1.0%, p < 0.001]. After excluding an individual study, the pooled rate of complications changed from 11.5% (95% CI: 7.4-17.4%, I2 = 38.8%, p < 0.001) to 8.2% (95% CI: 5.0-13.3%, I2 = 0, p < 0.001). CONCLUSIONS EUS-guided drainage of the pelvic abscess was feasible, effective, and safe. Further randomized-controlled studies with large-sample sizes were required in the future.
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Affiliation(s)
- Xinxin Pu
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Shu Huang
- Department of Gastroenterology, the People's Hospital of Lianshui, Huaian, Jiangsu province, China
| | - Lu Zhang
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Han Zhang
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Huifang Xia
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Xinyi Zeng
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Muhan Lü
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Yan Peng
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Jing Ren
- Department of Nursing, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Department of Endoscopic Medicine, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
| | - Xiaowei Tang
- Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.,Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, the Affliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
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Monino L, Pendeville P, Remue C, Moreels TG. Freehand endoscopic ultrasound-guided transrectal drainage of diverticulitis-associated abscess with electrocautery-enhanced lumen-apposing metal stent under spinal anesthesia. Endoscopy 2022; 54:E884-E885. [PMID: 35750081 PMCID: PMC9735412 DOI: 10.1055/a-1866-3628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Laurent Monino
- Department of Gastroenterology and Hepatology, Université catholique de Louvain, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Philippe Pendeville
- Department of Anesthesiology, Université catholique de Louvain, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Christophe Remue
- Department of Digestive Surgery, Université catholique de Louvain, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Tom G. Moreels
- Department of Gastroenterology and Hepatology, Université catholique de Louvain, Cliniques universitaires Saint-Luc, Brussels, Belgium
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