Drainage of deep pelvic abscesses using therapeutic echo endoscopy
M Giovannini1, E Bories, V Moutardier
1Oncology Unit 1 and Endoscopic Department, Paoli-Calmettes Institute, 232 Boulevard Sainte-Marguerite BP 156, 13273 Marseille Cedex 9, France. hdchir@marseille.fnclcc.fr
Endoscopy
|June 5, 2003
Summary
Endoscopic ultrasound (EUS)-guided transrectal drainage with plastic stents effectively treated deep pelvic abscesses in most patients, offering a less invasive alternative to surgery.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Deep pelvic abscesses are often postoperative complications.
- Surgical drainage is the traditional treatment but carries risks.
Purpose of the Study:
- To evaluate the clinical efficacy of endosonographically guided transrectal aspiration and drainage by plastic stent of deep pelvic abscesses.
- To assess the use of a therapeutic echo endoscope device for this procedure.
Main Methods:
- Twelve patients with perirectal or pelvic abscesses underwent drainage using endoscopic ultrasound (EUS) guidance.
- Therapeutic EUS scopes with large working channels were used for drainage or aspiration.
Main Results:
- Transrectal stent insertion was successful in nine patients, achieving complete drainage in eight.
- Aspiration alone in three patients led to recurrence in two, requiring surgery.
- No major complications were observed during the EUS-guided procedures.
Conclusions:
- EUS-guided drainage with plastic stents is a viable alternative to surgery for deep pelvic abscesses.
- This minimally invasive technique offers good outcomes with low complication rates.
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