ABSTRACT
BACKGROUND: Endoscopic ultrasound (EUS)-guided drainage for pancreatic fluid collection (PFC) involves puncture with a fine-needle aspiration (FNA) needle, followed by tract dilation involving exchange of multiple accessories, and finally deployment of stent. The procedure is time consuming and carries a risk of loss of wire access and hence technical failure. We used a modified technique with a 10-F cystotome alone instead of a FNA needle and dilators. METHODS: We retrospectively analysed records of consecutive patients who had undergone EUS-guided drainage of PFC using a modified technique, with puncture of PFC using a 10-Fcystotome, followed by passage of a guidewire through it into the PFC cavity and deployment of a biflanged, 2-cm-long, fully covered self-expanding metal stent over it. Technical and clinical success rates and procedure time were assessed. RESULTS: Forty-five patients underwent PFC drainage, median age was 35 (12-76), and 35 (77.8%) were males. The median (range) duration of symptoms was 125 (38-1080) days, while the median PFC size was 11.8 × 11 × 11 cm, and the follow-up period after stent removal was 111 ± 72 (18-251) weeks. The procedure took 10 (8-12) min and had technical and clinical success rates of 100 and 97.8%, respectively. Minor complications occurred in six (13.3%) patients, while recurrence occurred in one. CONCLUSION: EUS-guided drainage of PFC using a cystotome is a quick, effective and safe procedure. It may also be less expensive since it obviates the use of FNA needles and dilators, and is likely to be a useful alternative to the conventional technique.
Subject(s)
Drainage , Endosonography , Adult , Biopsy, Fine-Needle , Humans , Male , Pancreatic Juice , Retrospective StudiesABSTRACT
Cubiceps baxteri McCulloch 1923 was described based on a single, imperfect (devoid of a tail) stranded specimen collected from a beach in Lord Howe Island, Tasman Sea. Though C. baxteri was reported as a widely distributed tropical species (Butler 1979), it was mainly a result of its incorrect identification (see Agafonova 1994; Stewart and Last 2015). The distribution of C. baxteri is reported to be restricted to the Pacific Ocean, from Japan and eastwards to Baja California (Mexico), southwards to the Hawaiian Islands, New South Wales (Australia), and Lord Howe Island (Tasman Sea) to the Southern parts of Chile (Eschmeyer et al. 2017; Mundy 2005; Agafonova 1994).
