The risk factors of bleeding after EUS-guided transmural drainage of pancreatic fluid collections: a single-center experience in China

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Udgivet i:Frontiers in Medicine vol. 12 (Jul 2025), p. 1626767-1626775
Hovedforfatter: Li, Yaoting
Andre forfattere: Yu, Tingting, Zhang, Wei, Du, Haiming, Hou, Yankun, Jiao Tian, Hou, Senlin, Zhang, Lichao
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Frontiers Media SA
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LEADER 00000nab a2200000uu 4500
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022 |a 2296-858X 
024 7 |a 10.3389/fmed.2025.1626767  |2 doi 
035 |a 3283989933 
045 2 |b d20250701  |b d20250731 
100 1 |a Li, Yaoting 
245 1 |a The risk factors of bleeding after EUS-guided transmural drainage of pancreatic fluid collections: a single-center experience in China 
260 |b Frontiers Media SA  |c Jul 2025 
513 |a Journal Article 
520 3 |a BackgroundEndoscopic ultrasonography (EUS) guided transmural drainage has become a first-line treatment for peripancreatic fluid collections (PFCs). Post-procedure bleeding may lead to severe clinical outcomes.AimThe purpose of this study was to explore the patient-related and surgery-related factors associated with post-EUS drainage bleeding.MethodsThis is an observational cohort study. A total of 181 patients who underwent EUS drainage at our center between June 2019 and May 2024 were enrolled analyzed in the study. Postoperative bleeding complications were observed, and patient and operation-related data were collected. Univariate and multifactorial logistics regression were performed for the risk factors that may affect postoperative bleeding. Determine the risk factors influencing bleeding after EUS drainage.ResultsWe achieved a 100% technical success rate. A total of 14 cases (7.7%) of bleeding occurred. All bleeding patients were successfully treated by conservative, endoscopic, interventional and other treatments. Logistic regression analysis showed that cyst size was an independent risk factor for bleeding after EUS-guided transmural drainage ( P = 0.006; OR, 2.722; 95%CI, 1.327–5.587).ConclusionThe cyst size was an independent risk factor for bleeding after PFC drainage. Slowing the rate of decline in intracystic pressure may reduce the risk of bleeding. 
610 4 |a Boston Scientific Corp 
651 4 |a United States--US 
653 |a Infections 
653 |a Patients 
653 |a Pancreatitis 
653 |a Regression analysis 
653 |a Surgery 
653 |a Antibiotics 
653 |a Cysts 
653 |a Risk factors 
653 |a Stents 
653 |a Abdomen 
653 |a Ultrasonic imaging 
653 |a Small intestine 
653 |a Hospitalization 
653 |a Endoscopy 
700 1 |a Yu, Tingting 
700 1 |a Zhang, Wei 
700 1 |a Du, Haiming 
700 1 |a Hou, Yankun 
700 1 |a Jiao Tian 
700 1 |a Hou, Senlin 
700 1 |a Zhang, Lichao 
773 0 |t Frontiers in Medicine  |g vol. 12 (Jul 2025), p. 1626767-1626775 
786 0 |d ProQuest  |t Health & Medical Collection 
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