Clinical Endoscopy

Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?: Yousuke Nakai, Saburo Matsubara, Tsuyoshi Mukai, Tsuyoshi Hamada, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, Tomotaka Saito, Hiroyuki Isayama, Ichiro Yasuda, for the WONDERFUL study group in Japan; Clin Endosc 2024;57(6):735-746. Published online May 17, 2024; DOI: https://doi.org/10.5946/ce.2023.254

Postoperative pancreatic fistulas (POPFs) are common adverse events that occur after pancreatic surgery. Endoscopic ultrasonography (EUS)-guided drainage (EUS-D) is a first-line treatment, similar to that for pancreatic fluid collection (PFCs) after acute pancreatitis. However, some POPFs do not develop fluid collections depending on the presence or location of the surgical drain, whereas others develop fluid collections, such as postoperative fluid collections (POPFCs). Although POPFCs are similar to PFCs, the strategy and modality for POPF management need to be modified according to the presence of fluid collections, surgical drains, and surgical type. As discussed for PFCs, the indications, timing, and selection of interventions or stents for EUS-D have not been fully elucidated for POPFs. In this review, we discuss the management of POPFs and POPFCs in comparison with PFCs due to acute pancreatitis and summarize the topics that should be addressed in future studies.

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EUS-TD With Multiple Plastic Stents for Postoperative Pancreatic Fistula
Koichiro Miyagawa, Shinji Oe, Yasuhisa Mori, Tsuyoshi Ueda, Nobuhiko Shinohara, Kosuke Hideshima, Yudai Koya, Yuichi Honma, Masaru Harada
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2026;[Epub] CrossRef
Clinical Outcomes and Risk Factors for Adverse Events Associated With Endoscopic Ultrasound‐Guided Drainage of Postoperative Pancreatic Fluid Collections Following Distal Pancreatectomy
Ho Seung Lee, Gunn Huh, Yoonchan Lee, Sung Hyun Cho, Jae Min Lee, Tae Jun Song, Dong‐Wan Seo, Dongwook Oh
Journal of Gastroenterology and Hepatology.2026; 41(3): 1021. CrossRef
Management of Postoperative Pancreatic Fluid Collection and Role of Endoscopy: A Case Series and Review of the Literature
Chiara Coluccio, Ilaria Tarantino, Maria Chiara Petrone, Edoardo Forti, Stefano Francesco Crinò, Alessandro Fugazza, Roberto Di Mitri, Cecilia Binda, Davide Trama, Arnaldo Amato, Alessandro Redaelli, Germana De Nucci, Fabia Attili, Mario Luciano Brancacci
Diagnostics.2025; 15(10): 1258. CrossRef
Percutaneous mini–invasive interventions in the treatment of peripancreatic fluid accumulation after pancreatic resection
M. V. Kostylev, V. P. Shkarban, V. I. Trachuk, V. O. Shatalo
The Ukrainian Journal of Clinical Surgery.2025; 92(3): 20. CrossRef
Acute Necrotizing Pancreatitis—Advances and Challenges in Management for Optimal Clinical Outcomes
Ioana Dumitrascu, Narcis Octavian Zarnescu, Eugenia Claudia Zarnescu, Mihai Radu Pahomeanu, Alexandru Constantinescu, Dana Galieta Minca, Radu Virgil Costea
Medicina.2025; 61(7): 1186. CrossRef
Endoscopic ultrasound-guided drainage of a right liver fistula caused by percutaneous thermoablation
Angelica Toppeta, Jean-Philippe Ratone, Solene Hoibian, Yanis Dahel, Antoine Assaf, Marc Giovannini, Fabrice Caillol
Endoscopy.2025; 57(S 01): E788. CrossRef

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Comparison of 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma using endoscopic ultrasound fine-needle aspiration: Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yusuke Kito, Takuji Tanaka, Naoki Watanabe, Senji Kasahara, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki, Yuhei Shibata, Junichi Kitagawa, Takuji Iwashita, Eiichi Tomita, Masahito Shimizu; Clin Endosc 2024;57(3):364-374. Published online September 8, 2023; DOI: https://doi.org/10.5946/ce.2023.095

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Background
/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) using a 19-gauge needle is an efficient sampling method for the diagnosis of lymphadenopathy. This study compared 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma (ML).
Methods
Patient characteristics, number of needle passes, puncture route, sensitivity, specificity, and accuracy of cytology/histology for lymphadenopathy were analyzed in patients diagnosed with lymphadenopathy by EUS-FNA using conventional or Franseen needles.
Results
Between 2012 and 2022, 146 patients met the inclusion criteria (conventional [n=70] and Franseen [n=76]). The median number of needle passes was significantly lower in the conventional group than in the Franseen group (3 [1–6] vs. 4 [1–6], p=0.023). There were no significant differences in cytological/histological diagnoses between the two groups. For ML, the immunohistochemical evaluation rate, sensitivity of flow cytometry, and cytogenetic assessment were not significantly different in either group. Bleeding as adverse events (AEs) were observed in three patients in the Franseen group.
Conclusions
Both the 19-gauge conventional and Franseen needles showed high accuracy in lymphadenopathy and ML classification. Considering sufficient tissue collection and the avoidance of AEs, the use of 19-gauge conventional needles seems to be a good option for the diagnosis of lymphadenopathy.

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A retrospective study on the comparative use of fine-needle biopsy and aspiration for the diagnosis and classification of malignant lymphoma in Japan
Fumitaka Niiya, Akihiro Nakamura, Yasuo Ueda, Takafumi Ogawa, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Yuichi Takano, Masatsugu Nagahama
Clinical Endoscopy.2025; 58(5): 757. CrossRef
Refining the diagnostic strategy for malignant lymphoma: advantages of endoscopic ultrasound-guided fine-needle biopsy over aspiration
Kyong Joo Lee, Se Woo Park
Clinical Endoscopy.2025; 58(5): 701. CrossRef
Choosing needles wisely: 19-G conventional vs. Franseen needles in endoscopic ultrasound-guided fine-needle aspiration for malignant lymphoma diagnosis and classification
Kajornvit Raghareutai, Worapoth Yingyongthawat, Nonthalee Pausawasdi
Clinical Endoscopy.2024; 57(4): 473. CrossRef

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Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Focal Liver Lesions: The Expanding Light Over the Shadow: Takuji Iwashita, Masahito Shimizu; Clin Endosc 2021;54(3):299-300. Published online May 20, 2021; DOI: https://doi.org/10.5946/ce.2021.120

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An artificial intelligence algorithm is highly accurate for detecting endoscopic features of eosinophilic esophagitis
Christoph Römmele, Robert Mendel, Caroline Barrett, Hans Kiesl, David Rauber, Tobias Rückert, Lisa Kraus, Jakob Heinkele, Christine Dhillon, Bianca Grosser, Friederike Prinz, Julia Wanzl, Carola Fleischmann, Sandra Nagl, Elisabeth Schnoy, Jakob Schlottman
Scientific Reports.2022;[Epub] CrossRef

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Endoscopic Retrograde Cholangiopancreatography in Recurrent Acute Pancreatitis: Determining the Optimal Subgroup of Patients in Whom the Procedure is Beneficial: Tae Yoon Lee, Takuji Iwashita; Clin Endosc 2020;53(1):5-6. Published online January 30, 2020; DOI: https://doi.org/10.5946/ce.2020.004

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