Comparison of the clinical impact of endoscopic ultrasound-guided choledochoduodenostomy and hepaticogastrostomy for bile duct obstruction with duodenal obstruction

Ogura, Takeshi; Chiba, Yasutaka; Masuda, Daisuke; Kitano, Masayuki; Sano, Tsuyoshi; Onda, Saori; Yamamoto, Kazuhide; Imaoka, Hiroshi; Imoto, Akira; Takeuchi, Toshihisa; Fukunishi, Shinya; Higuchi, Kazuhide

doi:10.1055/s-0034-1393251

Cited by 36 publications

(56 citation statements)

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“…The present study is the largest series to date, involving 109 patients with DS, not including endoscopic ultrasound (EUS)‐guided biliary drainage (EUS‐BD). The technical success rate of DS ranges from 82% to 100% . Our identified rate (99.1%) is similar to this, and clinical success was achieved in 81.7%.…”

Section: Discussionsupporting

confidence: 81%

“…Endoscopic stenting using self‐expandable metal stents (SEMSs) is an effective and minimally invasive treatment in cases of duodenal obstruction and for palliation of biliary obstruction . In recent years, biliary and duodenal stenting (DS; double stenting) has been used to treat combined biliary and duodenal obstructions . An uncovered SEMS (U‐SEMS) was used as the type of duodenal SEMS in most previous DS cases.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Covered duodenal self‐expandable metal stents prolong biliary stent patency in double stenting: The largest series of bilioduodenal obstruction

Hori

Naitoh

Hayashi

et al. 2018

J of Gastro and Hepatol

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Covered duodenal self‐expandable metal stents prolong biliary stent patency in double stenting: The largest series of bilioduodenal obstruction

Hori

Naitoh

Hayashi

et al. 2018

J of Gastro and Hepatol

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“…In cases with a biliary stent in situ , duodenal tumor invasion can be a risk factor for biliary stent dysfunction as a result of enhanced duodenobiliary reflux . Given the feasibility of endoscopic ultrasound‐guided transmural biliary drainage including choledochoduodenostomy and hepaticogastrostomy in patients with an indwelling duodenal SEMS, concern with biliary obstruction might be minimal in current clinical practice, but attention should be paid to avoid SEMS‐related pancreatitis …”

Section: Discussionmentioning

confidence: 99%

Covered versus uncovered metal stents for malignant gastric outlet obstruction: Systematic review and meta‐analysis

Hamada

Hakuta

Takahara

et al. 2017

Digestive Endoscopy

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Background and Aim: Self-expandable metal stents (SEMS) are used for non-resectable malignant gastric outlet obstruction (GOO). Studies of covered versus uncovered SEMS have yielded inconsistent results as a result of heterogeneity in design and patient population. We carried out a meta-analysis to compare covered and uncovered gastroduodenal SEMS.Methods: Using MEDLINE, Embase, and the Cochrane database, we identified 1624 patients from 13 prospective and retrospective studies that evaluated covered and uncovered SEMS for malignant GOO and were published until October 2016. We pooled data on SEMS dysfunction, technical and clinical success, and adverse events using the fixed-effect or random-effects model. Conclusions: Outcomes of covered and uncovered gastroduodenal SEMS were comparable, although the lower dysfunction rate of covered SEMS observed in the analysis of randomized trials needs further investigation. Antimigration mechanisms for covered SEMS and identification of patients who can achieve longer patency from uncovered SEMS would help improve the outcomes of gastroduodenal SEMS. Results

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“… reported a mean stent patency of 133 days: 152 days for CDS and 132 days for HGS. However, EUS‐BD resulted in a longer patency than did EBD in cases with duodenal stenosis or an indwelling duodenal stent , with EUS‐HGS showing a longer patency than that of EUS‐CDS .…”

Section: Questions and Clinical Questions Of The Guidelinesmentioning

confidence: 88%

Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018

Isayama

Nakai

Itoi

et al. 2019

J Hepato Biliary Pancreat

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112

127

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Endoscopic ultrasound/ultrasonography‐guided biliary drainage (EUS‐BD) is a relatively new modality for biliary drainage after failed or difficult transpapillary biliary cannulation. Despite its clinical utility, EUS‐BD can be complicated by severe adverse events such as bleeding, perforation, and peritonitis. The aim of this paper is to provide practice guidelines for safe performance of EUS‐BD as well as safe introduction of the procedure to non‐expert centers. The guidelines comprised patient–intervention–comparison–outcome‐formatted clinical questions (CQs) and questions (Qs), which are background statements to facilitate understanding of the CQs. A literature search was performed using the PubMed and Cochrane Library databases. Statement, evidence level, and strength of recommendation were created according to the GRADE system. Four committees were organized: guideline creation, expert panelist, evaluation, and external evaluation committees. We developed 13 CQs (methods, device selection, supportive treatment, management of adverse events, education and ethics) and six Qs (definition, indication, outcomes and adverse events) with statements, evidence levels, and strengths of recommendation. The guidelines explain the technical aspects, management of adverse events, and ethics of EUS‐BD and its introduction to non‐expert institutions.

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Comparison of the clinical impact of endoscopic ultrasound-guided choledochoduodenostomy and hepaticogastrostomy for bile duct obstruction with duodenal obstruction

Cited by 36 publications

References 0 publications

Covered duodenal self‐expandable metal stents prolong biliary stent patency in double stenting: The largest series of bilioduodenal obstruction

Covered duodenal self‐expandable metal stents prolong biliary stent patency in double stenting: The largest series of bilioduodenal obstruction

Covered versus uncovered metal stents for malignant gastric outlet obstruction: Systematic review and meta‐analysis

Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018

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