Research Article

Efficacy of Early Endoscopic Ultrasound-Guided Transluminal Drainage for Postoperative Pancreatic Fistula

Table 2

Comparison of clinical characteristics between the early and late drainage patient groups.

Clinical characteristicsEarly drainage (≤15 days)Late drainage (>15 days)p value

Number of patients1416
Median days from surgery to EUS-TD10.5 (3–15)34.5 (17–232)
Gender (male/female)9/59/70.65
Age (years, mean)63.0 ± 5.256.6 ± 4.80.38

Indication for surgery0.87
 PDAC45
 Not PDAC1011

Surgery0.83
 With splenectomy1012
 Without splenectomy44

Open/laparoscopic0.96
 Open67
 Laparoscopic89

Indication for POPF drainage<0.0001
 With infection145
 Without infection011
Size of POPF (mm, mean)66.1 ± 7.378.8 ± 6.80.21

Location of POPF0.89
 Ph22
 Pbt1214

Encapsulation of POPF0.02
 Absent61
 Present815

Drainage approach0.28
 Transgastric1316
 Transduodenal10

Type of drainage0.77
 Simultaneous internal and external drainage66
 Without external drainage (aspiration only)8 (2)10 (1)

Type of stent used0.35
 LAMS13
 Not LAMS1313

Number of procedures0.87
 11011
 2 or more45

Hospital stay after EUS-TD (days, mean (range))23.5 ± 4.921.4 ± 4.60.75
Technical success (n, %)14 (100)16 (100)
Clinical success (n, %)13 (93)16 (100)0.28
Complications (n, %)1 (7.1)1 (6.3)0.92

EUS-TD, EUS-guided transluminal drainage; PDAC, pancreatic ductal adenocarcinoma; POPF, postoperative pancreatic fistula; LAMS, lumen-apposing metal stent.