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 characteristics | Early drainage (≤15 days) | Late drainage (>15 days) | p value |
| Number of patients | 14 | 16 | | Median days from surgery to EUS-TD | 10.5 (3–15) | 34.5 (17–232) | | Gender (male/female) | 9/5 | 9/7 | 0.65 | Age (years, mean) | 63.0 ± 5.2 | 56.6 ± 4.8 | 0.38 |
| Indication for surgery | | | 0.87 | PDAC | 4 | 5 | | Not PDAC | 10 | 11 | |
| Surgery | | | 0.83 | With splenectomy | 10 | 12 | | Without splenectomy | 4 | 4 | |
| Open/laparoscopic | | | 0.96 | Open | 6 | 7 | | Laparoscopic | 8 | 9 | |
| Indication for POPF drainage | | | <0.0001 | With infection | 14 | 5 | | Without infection | 0 | 11 | | Size of POPF (mm, mean) | 66.1 ± 7.3 | 78.8 ± 6.8 | 0.21 |
| Location of POPF | | | 0.89 | Ph | 2 | 2 | | Pbt | 12 | 14 | |
| Encapsulation of POPF | | | 0.02 | Absent | 6 | 1 | | Present | 8 | 15 | |
| Drainage approach | | | 0.28 | Transgastric | 13 | 16 | | Transduodenal | 1 | 0 | |
| Type of drainage | | | 0.77 | Simultaneous internal and external drainage | 6 | 6 | | Without external drainage (aspiration only) | 8 (2) | 10 (1) | |
| Type of stent used | | | 0.35 | LAMS | 1 | 3 | | Not LAMS | 13 | 13 | |
| Number of procedures | | | 0.87 | 1 | 10 | 11 | | 2 or more | 4 | 5 | |
| Hospital stay after EUS-TD (days, mean (range)) | 23.5 ± 4.9 | 21.4 ± 4.6 | 0.75 | 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 |
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EUS-TD, EUS-guided transluminal drainage; PDAC, pancreatic ductal adenocarcinoma; POPF, postoperative pancreatic fistula; LAMS, lumen-apposing metal stent.
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