%0 Journal Article
%A Romero-Castro, Rafael
%A Jimenez-Garcia, Victoria Alejandra
%A Boceta-Osuna, Jaime
%A Castilla-Guerra, Luis
%A Pellicer-Bautista, Francisco
%A Caunedo-Alvarez, Angel
%A Herrerias-Gutierrez, Juan Manuel
%A Romero-Gómez, Manuel
%A Giovannini, Marc
%T Endoscopic ultrasound-guided placement of plastic pigtail stents for the drainage of refractory malignant ascites.
%D 2017
%@ 2364-3722
%U https://hdl.handle.net/10668/26593
%X Endoscopic ultrasound (EUS)-guided drainage is now the treatment of choice in cases of pancreatic pseudocysts and walled-off necrosis, especially in the absence of luminal bulging and in patients with portal hypertension. Malignant refractory ascites usually heralds a poor prognosis and substantially impairs the quality of life of patients because of the symptoms experienced and the need for repeated paracentesis. EUS-guided placement of lumen-apposing, fully covered, self-expandable metal stents (FCSEMS) has been reported for the drainage of malignant ascites. Herein, we present the results of EUS-guided placement of plastic pigtails stents for the drainage of refractory malignant ascites in three patients. The aim was to improve symptoms and minimize the possible drawbacks of large-caliber FCSEMS. In this preliminary experience, EUS-guided placement of plastic stents was feasible and avoided further paracentesis.
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