{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:57:39Z","timestamp":1788519459571,"version":"build-2803163510"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"vor","delay-in-days":79,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Currently, the methods for drainage of pelvic abscess primarily use computed tomography- or ultrasound-guided percutaneous drainage or surgical drainage. Endoscopic ultrasound-guided pelvic abscess drainage (EUS-PAD) is an alternative, minimally invasive tool to drain an abscess, localized close to the rectum or left colon, and therefore not accessible by other means.<\/jats:p><jats:p>\n          Methods\u2003We report on the success of endoscopic ultrasound-guided drainage of peridiverticulitic abscess based on the two cases presented here. Using endoscopic ultrasound guidance an aspiration of the abscess from the endoluminal could be realized. After successive balloon dilatation via a guidewire while using X-ray imaging, the placement of pigtail or flap stent was performed. In addition, conservative therapy measures such as antibiotics, diet, and pain management were performed.<\/jats:p><jats:p>\n          Results\u2003The interventions were successful in both patients, resulting in rapid recourse of discomfort, abscess size, and sepsis. After controlling the consequences of complicated diverticulitis, both patients underwent laparoscopic sigmoid resection with primary anastomosis and without ileostomy during an inflammation-free interval.<\/jats:p><jats:p>\n          Conclusion\u2003Both cases demonstrate the advantages of EUS-PAD. A laparoscopic operation with primary anastomosis, lower perioperative risk, and without need of a protective ileostomy in early elective setting became possible by bridging the time until surgery by using EUS-PAD.<\/jats:p>","DOI":"10.1055\/s-0043-1777791","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T23:55:43Z","timestamp":1703030143000},"page":"e145-e148","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic Ultrasound-Guided Transrectal Pelvic Abscess Drainage (EUS-PAD) \u2013 Bridging to Surgery: Report of Two Cases"],"prefix":"10.1055","volume":"09","author":[{"given":"Tina","family":"Goerl","sequence":"additional","affiliation":[{"name":"Klinik F\u00fcr Allgemein- und Viszeralchirurgie, Bodden-kliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Speck","sequence":"additional","affiliation":[{"name":"Klinik F\u00fcr Innere Medizin II\/Gastroenterologie, Bodden-kliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Gehring","sequence":"additional","affiliation":[{"name":"Klinik F\u00fcr Allgemein- und Viszeralchirurgie, Bodden-kliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9364-4336","authenticated-orcid":false,"given":"Reiko","family":"Wiessner","sequence":"additional","affiliation":[{"name":"Klinik F\u00fcr Allgemein- und Viszeralchirurgie, Bodden-kliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1007\/s00464-005-0574-y","article-title":"Results from percutaneous drainage of Hinchey stage II diverticulitis guided by computed tomography scan","volume":"20","author":"Y Durmishi","year":"2006","journal-title":"Surg Endosc"},{"key":"ref3","first-page":"85","article-title":"Treatment of perforated diverticular disease of the colon","volume":"12","author":"E J Hinchey","year":"1978","journal-title":"Adv Surg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s00261-016-0649-3","article-title":"Image-guided percutaneous drainage: a review","volume":"41","author":"T A Jaffe","year":"2016","journal-title":"Abdom Radiol (NY)"},{"issue":"03","key":"ref5","first-page":"337","article-title":"Ultrasound-guided percutaneous treatment of abdominal collections","volume":"61","author":"G Azzarello","year":"2009","journal-title":"Chir Ital"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1055\/s-2003-39673","article-title":"Drainage of deep pelvic abscesses using therapeutic echo endoscopy","volume":"35","author":"M Giovannini","year":"2003","journal-title":"Endoscopy"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"185","DOI":"10.4103\/eus.eus_71_20","article-title":"EUS-guided pelvic drainage: a systematic review and meta-analysis","volume":"10","author":"B S Dhindsa","year":"2021","journal-title":"Endosc Ultrasound"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"489","DOI":"10.4103\/jmas.jmas_349_21","article-title":"Endoscopic ultrasound-guided drainage to abdominal abscess: A systematic review and meta-analysis","volume":"18","author":"S Liu","year":"2022","journal-title":"J Minim Access Surg"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"513","DOI":"10.4103\/jmas.JMAS_184_20","article-title":"Endoscopic ultrasound-guided drainage of intra-abdominal diverticular abscess. A case series","volume":"17","author":"G Donatelli","year":"2021","journal-title":"J Minim Access Surg"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1777791.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T23:55:50Z","timestamp":1703030150000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1777791"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":8,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2023,10,19]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1777791","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}