Endoscopic ultrasound-guided placement of plastic pigtail stents for the drainage of refractory malignant ascites

Romero-Castro, Rafael; Jiménez-García, Victoria Alejandra; Boceta-Osuna, Jaime; Castilla-Guerra, Luis; Pellicer-Bautista, Francisco; Caunedo-Álvarez, Ángel; Herrerías‐Gutiérrez, Juan Manuel; Romero‐Gómez, Manuel; Giovannini, Marc

doi:10.1055/s-0043-118746

Cited by 5 publications

(4 citation statements)

References 10 publications

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“…Some cases of development of infectious complications (attributed to traversing the contaminated gastrointestinal wall) such as self-limited fever (3.3%) and bacterial peritonitis (4%) have been reported[ 5 , 10 ]. Recent developments include the deployment of double plastic stents in loculated ascites (benign/malignant), leading to internal drainage causing significant improvement in quality of life[ 13 , 14 ] (Figure 3 ). A clinical trial is also recruiting patients for EUS guided placement of a plastic prosthesis for refractory malignant ascites[ 15 ].…”

Section: Eus For Liver Parenchyma Associated Diseasesmentioning

confidence: 99%

“…Recent developments include the deployment of double plastic stents in loculated ascites (benign/malignant), leading to internal drainage causing significant improvement in quality of life[ 13 , 14 ] (Figure 3 ). A clinical trial is also recruiting patients for EUS guided placement of a plastic prosthesis for refractory malignant ascites[ 15 ]. The various studies on EUS-P are summarized in Table 2 .…”

Section: Eus For Liver Parenchyma Associated Diseasesmentioning

confidence: 99%

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Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Dhar¹,

Samanta²

2021

WJH

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The role of endoscopic ultrasound (EUS) as a diagnostic and therapeutic modality for the management of various gastrointestinal diseases has been expanding. The imaging or intervention for various liver diseases has primarily been the domain of radiologists. With the advances in EUS, the domain of endosonologists is rapidly expanding in the field of hepatology. The ability to combine endoscopy and sonography in one hybrid device is a unique property of EUS, together with the ability to bring its probe/transducer near the liver, the area of interest. Its excellent spatial resolution and ability to provide real-time images coupled with several enhancement techniques, such as contrast-enhanced (CE) EUS, have facilitated the growth of EUS. The concept of “Endo-hepatology” encompasses the wide range of diagnostic and therapeutic procedures that are now gradually becoming feasible for managing various liver diseases. Diagnostic advancements can enable a wide array of techniques from elastography and liver biopsy for liver parenchymal diseases, to CE-EUS for focal liver lesions to portal pressure measurements for managing various liver conditions. Similarly, therapeutic advancements range from EUS-guided eradication of varices, drainage of bilomas and abscesses to various EUS-guided modalities of liver tumor management. We provide a comprehensive review of all the different diagnostic and therapeutic EUS modalities available for the management of various liver diseases. A synopsis of all the technical details involving each procedure and the available data has been tabulated, and the future trends in this area have been highlighted.

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Section: Eus For Liver Parenchyma Associated Diseasesmentioning

confidence: 99%

Section: Eus For Liver Parenchyma Associated Diseasesmentioning

confidence: 99%

Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Dhar¹,

Samanta²

2021

WJH

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“…Three cases of successful EUS-guided drainage using double-pigtail plastic stents to obviate the need for repeat paracentesis have recently been described in this journal 8 . In these patients malignant ascites was not described as loculated.…”

Section: Discussionmentioning

confidence: 99%

Endosonography-guided drainage of loculated malignant ascites using double-pigtail plastic stents

2018

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Background and study aims Endoscopic ultrasound (EUS)-guided drainage is a well-established procedure for peripancreatic fluid collections (PFC) that develop in the context of acute pancreatitis or following pancreatic surgery. Malignant ascites can occur in a loculated form resembling PFC causing a variety of symptoms, with limited treatment options. There is a paucity of data about application of EUS-guided drainage for these kinds of fluid collections. So far, only one report exists describing clinical success in three cases, using fully-covered self-expanding metal stents (FCSEMS). FCSEMS, however, have possible drawbacks, particularly if they have to remain in place for an indeterminate period of time. Herein, we describe EUS-guided drainage of loculated malignant ascites using double-pigtail plastic stents in two patients severely symptomatic from esophagogastric obstruction symptoms. Technical and clinical success was achieved in both cases without clinically significant complications including one case, where ongoing symptom control could be observed after 6 months of follow-up.

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“…Unfortunately, all patients died within 2 weeks of the procedure because of malignancy/chemotherapy-related complications. [ 80 ]…”

Section: The Therapeutic Role Of Endoscopic Ultrasoundmentioning

confidence: 99%

Endohepatology: The endoscopic armamentarium in the hand of the hepatologist

Alwassief,

Al-Busafi,

Abbas

et al. 2023

Saudi Journal of Gastroenterology

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Recent advances in the field of hepatology include new and effective treatments for viral hepatitis. Further effort is now being directed to other disease entities, such as non-alcoholic fatty liver disease, with an increased need for assessment of liver function and histology. In fact, with the evolving nomenclature of fat-associated liver disease and the emergence of the term “metabolic-associated fatty liver disease” (MAFLD), new diagnostic challenges have emerged as patients with histologic absence of steatosis can still be classified under the umbrella of MAFLD. Currently, there is a growing number of endoscopic procedures that are pertinent to patients with liver disease. Indeed, interventional radiologists mostly perform interventional procedures such as percutaneous and intravascular procedures, whereas endoscopists focus on screening for and treatment of esophageal and gastric varices. EUS has proven to be of value in many areas within the realm of hepatology, including liver biopsy, assessment of liver fibrosis, measurement of portal pressure, managing variceal bleeding, and EUS-guided paracentesis. In this review article, we will address the endoscopic applications that are used to manage patients with chronic liver disease.

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Endoscopic ultrasound-guided placement of plastic pigtail stents for the drainage of refractory malignant ascites

Cited by 5 publications

References 10 publications

Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends

Endosonography-guided drainage of loculated malignant ascites using double-pigtail plastic stents

Endohepatology: The endoscopic armamentarium in the hand of the hepatologist

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