Endoscopic ultrasound-guided biliary drainage

Chavalitdhamrong, Disaya; Draganov, Peter V.

doi:10.3748/wjg.v18.i6.491

Cited by 25 publications

(26 citation statements)

References 44 publications

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“…External drainage has bad patient comfort, high risk for dislocation with according complications [9] and leads to the loss of bile fluid, which is necessary for digestion. Furthermore, as the emerging technique of endoscopic ultrasound-guided cholangiodrainage (EUCD) offers the possibility of internal drainage regularly, although the access rates seem to be not as high (73 to 97 %) as in PTBD [19] definitive external biliary drainage should be strictly avoided. Overall, we faced an early major adverse event rate of 7.9 % in 63 PTBDs.…”

Section: Discussionmentioning

confidence: 99%

Color Doppler ultrasound-guided PTBD with and without metal stent implantation by endoscopic control: prospective success and early adverse event rates

Schmitz

Grosse²,

Hallscheidt³

et al. 2015

Z Gastroenterol

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Section: Discussionmentioning

confidence: 99%

Color Doppler ultrasound-guided PTBD with and without metal stent implantation by endoscopic control: prospective success and early adverse event rates

Schmitz

Grosse²,

Hallscheidt³

et al. 2015

Z Gastroenterol

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“…A 0.035-inch guidewire is then advanced through the EUS needle after confirming the position of the needle by bile aspiration, EUS, and fluoroscopic view. 25,26 The guidewire should be advanced to and through the ampulla and then EUS scope is exchanged with an ERCP scope. The wire is grabbed by a snare using an ERCP scope, and traditional ERCP is followed.…”

Section: Eus-guided Intrahepatic Duct Accessmentioning

confidence: 99%

“…3a-f). 25,26 In contrast to the rendezvous technique, however, no attempt is made to advance the wire toward the ampulla. Instead, the wire is advanced in retrograde fashion to the intrahepatic duct.…”

Section: Eus-guided Extrahepatic Duct Accessmentioning

confidence: 99%

Biliary Obstruction: Endoscopic Approaches

Lee

DaVee

2017

Semin intervent Radiol

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Painless jaundice is a harbinger of malignant biliary obstruction, with the majority of cases due to pancreatic adenocarcinoma. Despite advances in treatment, including improved surgical techniques and neoadjuvant (preoperative) chemotherapy, long-term survival from pancreatic cancer is rare. This lack of significant improvement in outcomes is believed to be due to multiple reasons, including the advanced stage at diagnosis and lack of an adequate biomarker for screening and early detection, prior to the onset of jaundice or epigastric pain. Close attention is required to select appropriate patients for preoperative biliary decompression, and to prevent morbid complications from biliary drainage procedures, such as pancreatitis and cholangitis. Use of small caliber plastic biliary stents during endoscopic retrograde cholangiopancreatography should be minimized, as metal stents have increased area for improved bile flow and a reduced risk of adverse events during neoadjuvant therapy. Efforts are underway by translational scientists, radiologists, oncologists, surgeons, and gastroenterologists to augment lifespan for our patients and to more readily treat this deadly disease. In this review, the authors discuss the rationale and techniques of endoscopic biliary intervention, mainly focusing on malignant biliary obstruction by pancreatic cancer.

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“…These 2 platforms, however, carried a significant mortality rate of 5-32%. 3,4 The first EUS-guided choledochoduodenostomy was reported by Giovannini et al 5 in 2001, followed by many case reports and series worldwide. The first case series by Giovannini et al 6 on EUS-guided hepaticogastrostomy was published in 2007.…”

Section: Introductionmentioning

confidence: 99%

Successful endoscopic treatment of iatrogenic biloma as a complication of endosonography-guided hepaticogastrostomy: The first case report

Prachayakul¹,

Aswakul²

2012

jig

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Endosonography (EUS)-guided biliary drainage is a novel therapeutic option for patients with biliary obstruction after failed endoscopic retrograde cholangiopancreatography (ERCP). Many case reports and series worldwide have shown satisfactory clinical outcomes in terms of technical and clinical success rates, which approach 80%-100%. However, these procedures need to be performed by experts to minimize the possible complications, which have been reported in as many as 14-35% of patients. The most common complications encountered in these procedures are bile leakage, pneumoperitoneum, peritonitis, and stent related complications such as stent migration. Here, we report the case of a female patient who had cholangiocarcinoma and underwent EUS-guided hepaticogastrostomy after failed ERCP; stent malposition occurred during the procedure, leading to biloma formation that was successfully treated with EUS-guided biloma drainage.

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Endoscopic ultrasound-guided biliary drainage

Cited by 25 publications

References 44 publications

Color Doppler ultrasound-guided PTBD with and without metal stent implantation by endoscopic control: prospective success and early adverse event rates

Color Doppler ultrasound-guided PTBD with and without metal stent implantation by endoscopic control: prospective success and early adverse event rates

Biliary Obstruction: Endoscopic Approaches

Successful endoscopic treatment of iatrogenic biloma as a complication of endosonography-guided hepaticogastrostomy: The first case report

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