Transgastric endoscopic ultrasonography-guided biliary drainage: 			 results of a pilot study

Bories, Erwan; Pesenti, Christian; Caillol, Fabrice; Lopes, César Vivian; Giovannini, Marc

doi:10.1055/s-2007-966212

Cited by 227 publications

(165 citation statements)

References 12 publications

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“…A further advantage of a straight stent is the ability to retrieve or exchange the stent over the wire without loss of ductal access. Covered SEMS have been used for transenteric drainage, but may migrate, particularly with shortening [5]. The covering may block drainage of a secondary duct (e.g., cystic duct or intrahepatic branch).…”

Section: Stentsmentioning

confidence: 99%

“…Both plastic and metal stents have been used for transenteric drainage. Bories et al [5] reported two cases of peritoneal leak caused by shortening of the metal stent after deployment. The available data on EUS-guided choledochoduodenostomy is summarized in Table 5.…”

Section: Available Datamentioning

confidence: 99%

“…Puspok et al [11] previously described a successful EUS-guided transhepatic SEMS in a single patient with a malignant biliary obstruction following gastrectomy and Roux-en-Y anastomosis. Bories et al [5] successfully placed an SEMS transhepatically and under EUS guidance in 2 patients. However, these procedures were performed in a two-stage fashion with initial creation of a hepaticogastrostomy tract followed by anterograde placement of an SEMS in a second procedure.…”

Section: Available Datamentioning

confidence: 99%

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Endoscopic ultrasound‐guided anterograde cholangiopancreatography

Binmoeller

Nguyen-Tang

2010

J Hepato Biliary Pancreat

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Endoscopic retrograde cholangiopancreatography (ERCP) may fail in 10-15% of cases. A growing percentage of such cases are due to the inaccessible papilla after gastric bypass surgery for the treatment of obesity. Endoscopic ultrasonography (EUS) offers an alternative route of access to the bile and pancreatic ducts. Using the curved linear array echoendoscope, access to the bile and pancreatic ducts is possible under real-time EUS guidance. The route of access is 'anterograde', in contrast to the 'retrograde' approach of ERCP. We have coined the term ''EUS-guided anterograde cholangiopancreatography (EACP)'' to cover the spectrum of EUS-guided techniques for accessing and draining the bile and pancreatic ducts. These techniques are reviewed in this paper. The literature has validated the feasibility of EACP but complication rates have been high; the safety profile of EACP must improve. This will require tools, designed for EUS-guided applications, that enable safer transenteric access and drainage.

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Section: Stentsmentioning

confidence: 99%

Section: Available Datamentioning

confidence: 99%

Section: Available Datamentioning

confidence: 99%

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Endoscopic ultrasound‐guided anterograde cholangiopancreatography

Binmoeller

Nguyen-Tang

2010

J Hepato Biliary Pancreat

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“…However, surgery has been associated with high complication rates and morbidity [2,3] . In recent years various groups have described endoscopic ultrasound guided access of the left system, allowing placement of metal or plastic stents either across the distal stricture or in the stomach (hepatico-gastrostomy), with high technical success guided biliary drainage, various groups mainly from tertiary care academic expert centres have reported similar success rates in small case series [6][7][8] . However, various obstacles still exist to extending the general applicability of this technique outside expert centres.…”

Section: Introductionmentioning

confidence: 99%

Endocoil placement after endoscopic ultrasound-guided biliary drainage may prevent a bile leak

Merwe

Omoshoro-Jones²,

Sanyika³

2013

WJGE

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AIM:To further reduce the risk of bleeding or bile leakage. METHODS:We performed endoscopic ultrasound guided biliary drainage in 6 patients in whom endoscopic retrograde cholangiopancreatography (ERCP) had failed. Biliary access of a dilated segment 2 or 3 duct was achieved from the stomach using a 19G needle. After radiologically confirming access a guide wire was placed, a transhepatic tract created using a 6 Fr cystotome followed by balloon dilation of the stricture and antegrade metallic stent placement across the malignant obstruction. This was followed by placement of an endocoil in the transhepatic tract. RESULTS:Dilated segmental ducts were observed in all patients with the linear endoscopic ultrasound scope from the proximal stomach. Transgastric biliary access was obtained using a 19G needle in all patients. Biliary drainage was achieved in all patients. Placement of an endocoil was possible in 5/6 patients. All patients responded to biliary drainage and no complications occurred. CONCLUSION:We show that placing endocoils at the time of endoscopic ultrasound guided biliary stenting is feasible and may reduce the risk of bleeding or bile leakage.

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“…Therefore, plastic stent placement via the puncture site to the target biliary duct is performed in the first session to prevent bile leakage in many reports (2)(3)(4)(5)(6)(7)(8)(9)(10)(11). Only a few case series undergoing ESBD with deployment of a covered self-expandable metal stent (SEMS) in a one-step fashion across the puncture site have been reported because there is a risk of migration of the deployed covered SEMS (5,7,8). Recently, a newly designed fully-covered SEMS with an anti-migration mechanism has become commercially available.…”

Section: Introductionmentioning

confidence: 99%

One-step Placement of a Fully-covered Metal Stent in Endosonography-guided Biliary Drainage for Malignant Biliary Obstruction

et al. 2011

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Background Although reports on endosonography-guided biliary drainage (ESBD) have been increasing, only a few discuss deployment of a self-expandable metal stent (SEMS) in the first session. Objective To evaluate the safety and efficacy of ESBD with the one-step placement of a newly designed fully-covered SEMS. Patient and MethodsFive patients with malignant biliary obstruction in whom one-step placement of an anti-migration designed SEMS in the first session of ESBD had been attempted between January 2007 and October 2009 were included in this study. Main outcome measurements were technical and clinical successes, early complications, and short-term results. Results ESBD was attempted to bridge the extrahepatic bile duct and the duodenum and one-step SEMS placement was successful in all cases. There were no early complications related to ESBD and excellent biliary decompression was obtained in all cases. SEMS dysfunction such as stent migration and occlusion was not seen during the follow-up period (mean follow-up 138 days, range 102-184 days). Conclusion One-step placement of a fully-covered SEMS in ESBD is possibly a safe and effective treatment for biliary obstruction.

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Transgastric endoscopic ultrasonography-guided biliary drainage: results of a pilot study

Abstract: EUS-guided hepaticogastrostomy is an efficient technique and could be a future alternative to percutaneous biliary drainage or palliative surgical drainage.

Cited by 227 publications

References 12 publications

Endoscopic ultrasound‐guided anterograde cholangiopancreatography

Endoscopic ultrasound‐guided anterograde cholangiopancreatography

Endocoil placement after endoscopic ultrasound-guided biliary drainage may prevent a bile leak

One-step Placement of a Fully-covered Metal Stent in Endosonography-guided Biliary Drainage for Malignant Biliary Obstruction

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