EUS-guided Drainage of Postoperative Fluid Collections

Abstract

EUS-guided postoperative drainage (EUS-POD) of postoperative fluid collections (POFCs) is increasingly popular as an alternative to percutaneous drainage in the management of patients with fluid collections after surgery. The technique involves placement of plastic double-pigtail stents or lumen-apposing metal stents (LAMS) and can be performed via a transgastric, transduodenal, or transrectal approach. Many different types of postoperative fluid collections could be candidates for EUSPOD, such as collections after hepatopancreatobiliary, bariatric, or colorectal surgery. Here we present a case of a postoperative fluid collection (biloma) after extended left hemihepatectomy, which was drained using LAMS.