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Safety and efficacy of the EndoRotor device for the treatment of walled-off pancreatic necrosis after EUS-guided cystenterostomy: A systematic review and meta-analysis EndoRotor装置治疗EUS引导下胰腺肠管造口术后胰腺壁脱落坏死的安全性和有效性：系统回顾和荟萃分析

Endoscopic Ultrasound Pub Date : 2024-01-02 DOI: 10.1097/eus.0000000000000031

Daryl Ramai, Zohaib Ahmed, S. Chandan, A. Facciorusso, S. Deliwala, Yaseen Alastal, A. Nawras, Marcello Maida, Monique T. Barakat, Andrea Anderloni, Douglas G Adler

{"title":"Safety and efficacy of the EndoRotor device for the treatment of walled-off pancreatic necrosis after EUS-guided cystenterostomy: A systematic review and meta-analysis","authors":"Daryl Ramai, Zohaib Ahmed, S. Chandan, A. Facciorusso, S. Deliwala, Yaseen Alastal, A. Nawras, Marcello Maida, Monique T. Barakat, Andrea Anderloni, Douglas G Adler","doi":"10.1097/eus.0000000000000031","DOIUrl":"https://doi.org/10.1097/eus.0000000000000031","url":null,"abstract":"\u0000 Debridement of infected walled-off pancreatic necrosis is indicated to treat and prevent sepsis-related multiorgan failure. The aim of this study was to evaluate the efficacy and safety of the EndoRotor-powered endoscopic debridement system to remove solid debris under direct endoscopic visualization. Search strategies were developed for PubMed, EMBASE, and Cochrane Library databases from inception to June 2022, in accordance with Preferred Reporting items for Systematic Reviews and Meta-Analyses and Meta-Analysis of Observational Studies in Epidemiology guidelines. Outcomes of interest included technical success defined as successful use of device for debridement, clinical success defined as complete debridement and cyst resolution, and procedure-related adverse events. A random-effects model was used for analysis, and results were expressed as odds ratio along with 95% confidence interval. A total of 7 studies (n = 79 patients) were included. The mean walled-off pancreatic necrosis size was 154.6 ± 34.0 mm, whereas the mean procedure time was 71.4 minutes. The mean number of necrosectomy sessions required was 2.2 (range, 1–7). The pooled rate of clinical success was 96% (95% confidence interval, 91%–100%; I\u0000 2 = 0%) with a pooled technical success rate of 96% (91%–100%; I\u0000 2 = 0%). The pooled procedure-related adverse event rate was 8% (2%–14%; I\u0000 2 = 6%), which included procedure-associated bleeding, pneumoperitoneum, peritonitis, pleural effusion, and dislodgement of lumen-apposing metal stents. Our study shows that the novel EndoRotor device seems to be safe and effective for treating pancreatic necrosis. Patients undergoing endoscopic necrosectomy with the EndoRotor seem to require less debridement sessions when compared with studies using conventional instruments.","PeriodicalId":503969,"journal":{"name":"Endoscopic Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139389761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Epidermoid cyst in an intrapancreatic accessory spleen diagnosed by contrast-enhanced EUS and EUS-FNA (with video) 通过对比增强 EUS 和 EUS-FNA 诊断的胰腺内附属脾脏表皮样囊肿（附视频）

Endoscopic Ultrasound Pub Date : 2024-01-01 DOI: 10.1097/eus.0000000000000047

Ryogo Minami, Jun Nakahodo, Hiroki Tabata, K. Chiba, S. Horiguchi, T. Kamisawa

引用次数: 0

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