Introduction:

There is no consensus about if patients with EUS-guided drainage (EUS-GD) of pancreatic pseudocyst (PPC) could be discharged the same day or if the patient must stay at least one night in hospital. The aim was to report adverse events rate in the first 24 h after the procedure of patients with PPC treated by EUS-GD.

Materials and Methods:

A retrospective analysis of data obtained prospectively was conducted. Patients with PPC were included in the study. EUS-GD was using two double pigtail plastic stents (7F and 4 cm).

Results:

A total of 31 procedures in 29 patients with PPC were analyzed. There were 16 (55.2%) men with a mean ± SD age of 42.5 ± 14.5 years. The endoscopic drainage was performed through transgastric in 23/29 (79.3%) patients and transduodenal in 6/29 (17.2%) patients. Technical success was 100%, clinical success was 27/29 (93.1%), and three (10.3%) patients had recurrence. In total, 5/31 (16.1%) procedures have adverse events. One patient had stent migration after 24-month follow-up, two patients had infection of PPC after the punctuation (at day 4 and 5 after procedure), and two patients who bled during endoscopic drainage (one of them was successfully treated endoscopically with clips and the second required surgery).

Conclusion:

There is not a clear reason because patients with PPC and EUS-GD need for staying one night in hospital if was not any adverse event during the procedure.

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