{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:25:18Z","timestamp":1789503918184,"version":"build-2803163510"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Long-term transmural double-pigtail stent (DPS) placement is recommended for patients with disconnected pancreatic duct syndrome (DPDS) and peripancreatic fluid collections (peri-PFCs). The long-term safety and efficacy of indwelling DPSs were evaluated.<\/jats:p><jats:p>\n          Methods Medical files of patients treated with DPS for DPDS-associated peri-PFC and with a follow-up\u200a\u2265\u200a48 months were reviewed. Early (\u200a&lt;\u200a30 days) and late complications of DPS placement were evaluated and the primary endpoint, i.\u200ae., incidence of late complications per 100 patient-years of follow-up, was calculated. Short- and long-term success rates of endoscopic treatment and rate of peri-PFC recurrence were among secondary endpoints.<\/jats:p><jats:p>\n          Results From 2002 to 2014 we identified 116 patients, with mean (SD) follow-up of 80.6 (34.4) months. Among early complications (n\u200a=\u200a20), 6 occurred peri-interventionally. Late complications (n\u200a=\u200a17) were mainly pain due to DPS-induced ulcer or erosion (n\u200a=\u200a10) and 14 of these were treated conservatively or by stent removal; 2 gastro-pancreatico-colo-cutaneous fistulas and 1 persisting bleed required surgical intervention. No DPS-related deaths were recorded. The incidence rate (95\u200a%CI) of late complications was 2.18 (1.27\u20133.49) per 100 patient-years of follow-up.\u200aShort- and long-term success rates (with 95\u200a%CI) of endoscopic treatment were 97.4\u200a% (94.5\u200a%\u2013100\u200a%) and 94\u200a% (89.6\u200a%\u201398.3\u200a%), respectively. The peri-PFC recurrence rate was 28\u200a% (20.1\u200a%\u201335.9\u200a%), and 92.3\u200a% of these occurred within the first 2 years. Stent migration, chronic pancreatitis, and length of stent (&gt;\u200a6\u200acm) were independently associated with higher rates of peri-PFC recurrence.<\/jats:p><jats:p>\n          Conclusions Long-term transmural drainage with DPS is a safe and effective treatment for DPDS-associated peri-PFCs. However, about one quarter of peri-PFCs will recur.<\/jats:p>","DOI":"10.1055\/a-1319-5093","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T09:06:22Z","timestamp":1606122382000},"page":"1141-1149","source":"Crossref","is-referenced-by-count":35,"title":["Indwelling double-pigtail plastic stents for treating disconnected pancreatic duct syndrome-associated peripancreatic fluid collections: long-term safety and efficacy"],"prefix":"10.1055","volume":"53","author":[{"given":"Paraskevas","family":"Gkolfakis","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Bourguignon","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Arvanitakis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Baudewyns","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Eisendrath","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"},{"name":"Department of Hepato-Gastroenterology, CHU Saint-Pierre, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Blero","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6256-0167","authenticated-orcid":false,"given":"Arnaud","family":"Lemmers","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Delhaye","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Devi\u00e8re","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,5,5]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1016\/j.gie.2007.12.056","article-title":"Disconnected pancreatic tail syndrome: a plea for multidisciplinarity","volume":"67","author":"J Deviere","year":"2008","journal-title":"Gastrointest Endosc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1016\/j.gie.2012.07.037","article-title":"EUS-guided transmural drainage of postoperative collections","volume":"76","author":"T 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Ultrasound"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1319-5093.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T09:50:07Z","timestamp":1660125007000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1319-5093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,20]]},"references-count":37,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,10,26]]},"published-print":{"date-parts":[[2021,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1319-5093","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,11,20]]},"published":{"date-parts":[[2020,11,20]]}}}