Endoscopic Drainage of Intra-abdominal Fluid Collections and Abscesses

Area of Science:

• Gastroenterology
• Interventional Endoscopy

Background:

• Endoscopic ultrasound (EUS) has evolved from a diagnostic modality to a therapeutic intervention.
• EUS-guided drainage is established for pancreatic fluid collections, with extensive supporting data.
• The procedure demonstrates efficacy and an acceptable safety profile for managing these collections.

Purpose of the Study:

• To review the application of EUS in managing diverse intra-abdominal fluid collections.
• To evaluate the efficacy, safety, and limitations of EUS-guided drainage for various fluid collections.
• To highlight the expanding therapeutic role of EUS in gastrointestinal interventions.

Main Methods:

• Literature review of studies on EUS-guided drainage of intra-abdominal fluid collections.
• Analysis of data regarding the effectiveness and safety of EUS interventions.
• Discussion of current techniques and their outcomes.

Main Results:

• EUS-guided drainage is effective for symptomatic, mature pancreatic fluid collections.
• Positive outcomes are reported for EUS-guided drainage of other intra-abdominal fluid collections.
• The procedure is associated with an acceptable safety profile.

Conclusions:

• EUS is a valuable therapeutic option for intra-abdominal fluid collections beyond pancreatic collections.
• EUS-guided drainage offers a safe and effective minimally invasive approach.
• Further research may expand the role of EUS in managing complex fluid collections.