Therapeutic role of endoscopic ultrasound in pancreaticobiliary disease: A comprehensive review

Meng, Fan-Sheng; Zhang, Zhaohong; Ji, Feng

doi:10.3748/wjg.v21.i46.12996

Cited by 5 publications

(7 citation statements)

References 74 publications

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“…Recently, interventional EUS has come to occupy an important role in pancreaticobiliary drainage where conventional ERCP procedures fail. 19,20 During EUS-guided intervention for various therapeutic methods (e.g. management of pancreatic fluid collections, biliary/pancreatic duct drainage, and drainage of the gallbladder), unnecessary dilation of a fistula can increase the risk of fluid leakage.…”

Section: Discussionmentioning

confidence: 99%

Various innovative roles for 3‐Fr microcatheters in pancreaticobiliary endoscopy

Yoshida

Naitoh

Hayashi

et al. 2021

Digestive Endoscopy

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With the development of newer devices and technical innovations, pancreaticobiliary endoscopy is expanding to assume more advanced therapeutic roles. As with other devices, slimmed-down "3-Fr microcatheters" are considered to be opening new windows toward entirely new therapeutic techniques for various purposes. Our practical experience with a total of 34 consecutive patients in whom 3-Fr microcatheters were applied during pancreaticobiliary endoscopic procedures clarified the potential roles of this instrument in pancreaticobiliary endoscopy. The major benefits of 3-Fr microcatheters involve their slimness and flexibility. Applications of 3-Fr microcatheters could be categorized into three groups according to the characteristics of usage: (1) utilization as a cannulation catheter for peroral digital cholangioscopy (n = 15); (2) selective advancement through deep flexures or severely stenotic ducts (n = 11); or (3) two-devices-in-one-channel technique (n = 8). The microcatheter worked successfully for cannulation of cholangioscopy in all but one case (14/15, 93.3%).For selective advancement, the microcatheter worked for troubleshooting in 9 of 11 cases (81.8%). With the twodevices-in-one-channel technique, the microcatheter proved satisfactory in all cases (8/8, 100%). In total, the microcatheter was successfully maneuvered in 31 of 34 cases (91.1%), following the failure of procedures using conventional endoscopic techniques. In terms of adverse events, cystic duct injury was only observed in two cases (5.8%), who recovered under conservative observation, because its slimness could minimize the damage. We believe that 3-Fr microcatheters offer effective and safe salvage troubleshooting during various endoscopic pancreaticobiliary procedures that face troublesome situations with conventional strategies.

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Section: Discussionmentioning

confidence: 99%

Various innovative roles for 3‐Fr microcatheters in pancreaticobiliary endoscopy

Yoshida

Naitoh

Hayashi

et al. 2021

Digestive Endoscopy

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“…It can also be used as an alternative to percutaneous drainage since it provides less trauma and a better quality of life in terminally ill patients [55]. EUS-guided biliary drainage is a novel technique that is still on a research stage.…”

Section: • • the Endoscopic Treatment Of Biliary Obstruction Secondarmentioning

confidence: 99%

“…Endoscopic ultrasound has also been used to target pancreatic cancer with other local therapies such as photodynamic therapy, radio frequency ablation, cryothermal ablation and high-intensity focused ultrasound probes [55,77,78]. All of these therapies are at early investigational stages and they are not ready for prime time just yet.…”

Section: • Eus-guided Brachytherapy Antihumoral Agent Injection and Otmentioning

confidence: 99%

State-Of-The-Art Endoscopic Procedures for Pancreatic Cancer

Coronel

Waxman

2016

Future Oncol.

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Pancreatic cancer is the twelfth most common cancer worldwide, taking the fourth place in cancer-related mortality in western countries. Despite significant efforts in understanding the tumor biology of pancreatic cancer and introducing new technologies and therapies to improve the detection, staging and treatment of this disease, pancreatic cancer continues to have a high and almost unchanged mortality. In the last few decades, the development of techniques such as endoscopic retrograde cholangio pancreatography and endoscopic ultrasound have allowed us to directly access the pancreaticobiliary system and fight pancreatic cancer and its complications from different fronts. Our goal with this review is to discuss the most cutting-edge endoscopic techniques available in our armamentarium to diagnose, stage and treat pancreatic cancer.

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“…The fact that some organs could have only been accessed by surgical procedures has promoted endoscopy to a level worthy of further appraisal. Among the different steps in endoscopy, the ones that surely changed the way we tend to diagnose or treat patients in daily practice are endoscopic retrograde cholangiopancreatography [6], capsule endoscopy [7], and endoscopic ultrasound [8,9]. Thus, a new window was opened for both patients and physicians, and allowed the concept of evidencebased medicine to be used in daily practice.…”

Section: Introductionmentioning

confidence: 99%