TY - JOUR
T1 - Therapeutic Interventional Endoscopic Ultrasound Based on Rare Cases in Indonesia
T2 - A Single-Center Experience in Unselected Patients
AU - Lesmana, C. Rinaldi
AU - Gani, Rino A.
AU - Hasan, Irsan
AU - Sulaiman, Ali
AU - Lesmana, Laurentius M. Adrianto
N1 - Publisher Copyright:
© 2017 The Author(s).
PY - 2017/1/27
Y1 - 2017/1/27
N2 - Background: Endoscopic ultrasound (EUS) is still not widely available and has a barrier in most Southeast Asian countries due to lack of training program, high cost, and hospital investment. In this study, we would like to show the impact of therapeutic interventional EUS procedures in gastroenterology practice in Indonesia, which represents the biggest Southeast Asian country. Methods: Patients who underwent interventional EUS procedure in Medistra Hospital were prospectively recruited within 1 year. Results: Of 147 patients who underwent EUS procedures, 39 patients underwent fine needle aspiration. Most of the cases suffered from pancreatic cancer (47.5%) followed by ampullary cancer (20%), gastric subepithelial mass (10%), and other conditions. There were 4 rare cases that underwent therapeutic interventional EUS procedures. Patients with large mesenteric cyst attached to the gastric wall and large left liver lobe cyst with gastric compression who were previously suspected with gastrointestinal stromal tumor were successfully managed by cyst aspiration. One patient with a large pseudocyst due to chronic pancreatitis was successfully managed by plastic stent placement. Another patient with duodenal duplication cyst causing duodenal obstruction was managed by inserting a plastic stent through the cyst. No complications were observed during and after the therapeutic EUS procedures. Conclusions: Innovation in interventional EUS has a high impact in gastroenterology practice as well as in a developing country like Indonesia, which represents the biggest Southeast Asian country. Further developments are needed regarding the cost, investment, and especially the necessary training curriculum to make this technology available in tertiary referral centers.
AB - Background: Endoscopic ultrasound (EUS) is still not widely available and has a barrier in most Southeast Asian countries due to lack of training program, high cost, and hospital investment. In this study, we would like to show the impact of therapeutic interventional EUS procedures in gastroenterology practice in Indonesia, which represents the biggest Southeast Asian country. Methods: Patients who underwent interventional EUS procedure in Medistra Hospital were prospectively recruited within 1 year. Results: Of 147 patients who underwent EUS procedures, 39 patients underwent fine needle aspiration. Most of the cases suffered from pancreatic cancer (47.5%) followed by ampullary cancer (20%), gastric subepithelial mass (10%), and other conditions. There were 4 rare cases that underwent therapeutic interventional EUS procedures. Patients with large mesenteric cyst attached to the gastric wall and large left liver lobe cyst with gastric compression who were previously suspected with gastrointestinal stromal tumor were successfully managed by cyst aspiration. One patient with a large pseudocyst due to chronic pancreatitis was successfully managed by plastic stent placement. Another patient with duodenal duplication cyst causing duodenal obstruction was managed by inserting a plastic stent through the cyst. No complications were observed during and after the therapeutic EUS procedures. Conclusions: Innovation in interventional EUS has a high impact in gastroenterology practice as well as in a developing country like Indonesia, which represents the biggest Southeast Asian country. Further developments are needed regarding the cost, investment, and especially the necessary training curriculum to make this technology available in tertiary referral centers.
KW - Gastroenterology practice
KW - Indonesia
KW - Therapeutic interventional endoscopic ultrasound
UR - http://www.scopus.com/inward/record.url?scp=85014070132&partnerID=8YFLogxK
U2 - 10.1159/000456606
DO - 10.1159/000456606
M3 - Article
AN - SCOPUS:85014070132
SN - 1662-0631
VL - 11
SP - 72
EP - 77
JO - Case Reports in Gastroenterology
JF - Case Reports in Gastroenterology
IS - 1
ER -