Radiofrequency ablation combined with multiple biliary metal stent placement using short‐type single‐balloon endoscope in patients with surgically altered anatomy

Inoue, Tadahisa; Ito, Kiyoaki; Yoneda, Masashi

doi:10.1111/den.13016

Cited by 8 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Afterwards the bile duct is cleared with a balloon sweep to remove residual debris and necrotic tissue followed by placement of plastic or metal stent to maintain adequate drainge[ 104 , 123 ]. Of note, RFA can also be used with balloon enteroscopy-assisted ERCP[ 124 ] or an EUS-guided HGS approach[ 125 , 126 ].…”

Section: Ablation Therapy Of the Bile Ductmentioning

confidence: 99%

Endoscopic palliation of malignant biliary obstruction

Canakis¹,

Kahaleh²

2022

World J Gastrointest Endosc

View full text Add to dashboard Cite

Malignant biliary obstruction often presents with challenges requiring the endoscopist to assess the location of the lesion, the staging of the disease, the eventual resectability and patient preferences in term of biliary decompression. This review will focus on the different modalities available in order to offer the most appropriate palliation, such as conventional endoscopic retrograde cholangiopancreatography, endoscopic ultrasound guided biliary drainage as well as ablative therapies including photodynamic therapy or radiofrequency ablation.

show abstract

Section: Ablation Therapy Of the Bile Ductmentioning

confidence: 99%

Endoscopic palliation of malignant biliary obstruction

Canakis¹,

Kahaleh²

2022

World J Gastrointest Endosc

View full text Add to dashboard Cite

show abstract

“…Besides the conventional ERC approach, RFA can also be performed during balloon enteroscopy-assisted ERC in patients with surgically altered anatomy 15 and as part of the endoscopic ultrasound (EUS)-guided approach for patients in whom the transpapillary approach is difficult (Fig. 5).…”

Section: Technical Aspects and Devices Of Endoscopic Rfamentioning

confidence: 99%

Updated evidence on the clinical impact of endoscopic radiofrequency ablation in the treatment of malignant biliary obstruction

Inoue

Yoneda

2021

Digestive Endoscopy

Self Cite

View full text Add to dashboard Cite

Endoscopic biliary radiofrequency ablation (RFA) was recently developed as a novel adjunctive procedure and a promising therapeutic option in patients with malignant biliary obstruction (MBO). RFA can achieve local tumor control, resulting in improved biliary stent patency and a potential survival benefit. However, the efficacy of biliary RFA remains controversial, and previous studies have shown conflicting results. At present, extrahepatic cholangiocarcinoma is considered the condition most effectively treated by biliary RFA, but there is limited research even on this point. Further, limitations of RFA associated with the devices used during the procedure are an important subject of discussion. In addition to further welldesigned clinical trials, development of innovative devices is warranted to investigate and conclusively establish the usefulness of biliary RFA. In this review we summarize the updated evidence regarding the use of endoscopic biliary RFA for MBO and discuss issues that should be addressed in future studies.

show abstract

“…A successful case of RFA application in an antegrade method followed by stenting through an endoscopic ultrasonography (EUS)‐guided hepaticogastrostomy approach has been reported . In another case of surgically altered upper gastrointestinal tract anatomy, biliary RFA treatment was successfully carried out using a single‐balloon endoscope, followed by bilateral biliary stenting …”

Section: Malignant Biliary Stricturesmentioning

confidence: 99%

“…29 In another case of surgically altered upper gastrointestinal tract anatomy, biliary RFA treatment was successfully carried out using a single-balloon endoscope, followed by bilateral biliary stenting. 30 The first retrospective comparative study by Sharaiha et al 15 evaluated RFA plus SEMS versus SEMS alone in 66 patients with biliary obstruction (cholangiocarcinoma in 21 A significantly higher number of premature stent replacements (65% vs 29%) and a higher rate of AE (40% vs 21%) in the PDT group versus the RFA group were noticed. 21 The prospective study by Laleman and colleagues 22 evaluated the feasibility, safety and stent patency of a new RFA system from Taewoong, South Korea, in 18 patients with malignant biliary strictures caused by a Klastkin tumor in nine, distal cholangiocarcinoma in two, and pancreatic adenocarcinoma in seven.…”

Section: Malignant Biliary Stricturesmentioning

confidence: 99%

Endoscopic radiofrequency biliary ablation treatment: A comprehensive review

Larghi

Rimbaș

Tringali

et al. 2019

Digestive Endoscopy

View full text Add to dashboard Cite

Radiofrequency ablation (RFA) functions by delivering thermal energy within tissue, the result of a high‐frequency alternating current released from an active electrode, leading to coagulative necrosis and cellular death. Recently, a biliary catheter working on a guidewire has been developed and a number of studies have so far been carried out. The present article provides a comprehensive review of the literature on the results of the use of RFA for the clinical management of patients with unresectable malignant biliary strictures, benign biliary strictures, and residual adenomatous tissue in the bile duct after endoscopic papillectomy. Available data show that biliary RFA treatment is a promising adjuvant therapy in patients with unresectable malignant biliary obstruction. The procedure is safe, well tolerated and improves stent patency and survival, even though more studies are warranted. In patients with residual endobiliary adenomatous tissue after endoscopic papillectomy, a significant rate of neoplasia eradication after a single RFA session has been reported, thus favoring this treatment over surgical intervention. In these patients, as well as in those with benign biliary strictures, dedicated probes with a short electrode able to focus the RF current on the short stenosis are needed to expand RFA treatment for these indications.

show abstract

Radiofrequency ablation combined with multiple biliary metal stent placement using short‐type single‐balloon endoscope in patients with surgically altered anatomy

Abstract: https://onlinelibrary.wiley.com/page/journal/14431661/den13016-sup-0001-vids1.htm a video of this article

Cited by 8 publications

References 6 publications

Endoscopic palliation of malignant biliary obstruction

Endoscopic palliation of malignant biliary obstruction

Updated evidence on the clinical impact of endoscopic radiofrequency ablation in the treatment of malignant biliary obstruction

Endoscopic radiofrequency biliary ablation treatment: A comprehensive review

Contact Info

Product

Resources

About