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Endoscopy 2009; 41(2): 166-174
DOI: 10.1055/s-0028-1119501
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© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic ultrasound-guided drainage of abdominal abscesses and infected necrosis

S.  Seewald1 , T.  L.  Ang2 , K.  Y.  K.  Teng3 , S.  Groth3 , Y.  Zhong3 , H.  Richter3 , H.  Imazu4 , S.  Omar3 , L.  Polese3 , U.  Seitz3 , P.  Bertschinger1 , J.  Altorfer1 , N.  Soehendra3
  • 1Center of Gastroenterology, Klinik Hirslanden Zurich, Switzerland
  • 2Division of Gastroenterology, Changi General Hospital, Singapore
  • 3Department of Interdisciplinary Endoscopy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  • 4Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan
Further Information

Publication History

Publication Date:
12 February 2009 (online)

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Traditionally abdominal abscesses have been treated with either surgical or radiologically guided percutaneous drainage. Surgical drainage procedures may be associated with considerable morbidity and mortality, and serious complications may also arise from percutaneous drainage. Endoscopic ultrasound (EUS)-guided drainage of well-demarcated abdominal abscesses, with adjunctive endoscopic debridement in the presence of solid necrotic debris, has been shown to be feasible and safe. This multicenter review summarizes the current status of the EUS-guided approach, describes the available and emerging techniques, and highlights the indications, limitations, and safety issues.

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S. SeewaldMD 

Center of Gastroenterology
Klinik Hirslanden

Witellikerstrasse 40
8008 Zürich
Switzerland

Fax: +41-44-3873966

Email: stefan.seewald@gastrozentrum.ch

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