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Yousuke Nakai, Hiroyuki Isayama, Natsuyo Yamamoto, Saburo Matsubara, Yukiko Ito, Naoki Sasahira, Ryunosuke Hakuta, Gyotane Umefune, Naminatsu Takahara, Tsuyoshi Hamada, Suguru Mizuno, Hirofumi Kogure, Minoru Tada, Kazuhiko Koike
Background and study aims: Endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) is potentially complicated by bile leak and stent migration. The aim of this study was to evaluate the safety and effectiveness of a long (≥ 10 cm), partially covered metal stent (LP-CMS) for EUS-guided hepaticogastrostomy (EUS-HGS) for malignant biliary obstruction. Both the stent length and the uncovered portion at the proximal end of the LP-CMS are designed to prevent stent migration. Patients and methods: A total of 33 patients undergoing EUS-HGS using an LP-CMS in four centers were retrospectively studied...
October 7, 2016: Endoscopy
Dong Hui Cho, Sang Soo Lee, Dongwook Oh, Tae Jun Song, Do Hyun Park, Dong Wan Seo, Sung Koo Lee, Myung-Hwan Kim
BACKGROUND AND AIMS: Although fully covered self-expandable metal stents (FCSEMSs) have been commonly used for EUS-guided biliary drainage (EUS-BD), FCSEMSs migration is a main limitation of this procedure. In the present study, we evaluated the technical and clinical success rates, adverse events and long-term outcomes of a newly developed hybrid stent that has been customized for EUS-BD. METHOD: From September 2011 to May 2015, a total of 54 consecutive patients with biliary obstruction were enrolled in this prospective, observational study...
September 17, 2016: Gastrointestinal Endoscopy
Nikhil A Kumta, Fernanda Torres-Ruiz, Porfirio J Reinoso, Michel Kahaleh
No abstract text is available yet for this article.
July 18, 2016: Gastrointestinal Endoscopy
Kosuke Minaga, Masayuki Kitano, Tomoe Yoshikawa, Shunsuke Omoto, Ken Kamata, Kentaro Yamao, Masatoshi Kudo
No abstract text is available yet for this article.
2016: Endoscopy
Laurent Poincloux, Constance Hordonneau, Olivier Rouquette
No abstract text is available yet for this article.
2016: Endoscopy
Amy Tyberg, Amit P Desai, Nikhil A Kumta, Elizabeth Brown, Monica Gaidhane, Reem Z Sharaiha, Michel Kahaleh
BACKGROUND AND AIMS: EUS-guided biliary drainage (EUS-BD) has been offered for more than a decade as an alternative to percutaneous biliary drainage. Multiple approaches have been described. We propose an algorithm for biliary drainage based on patient anatomy. We aim to assess its validity and safety to guide EUS-BD drainage. METHODS: All patients with biliary obstruction who underwent EUS-BD after failed ERCP from July 2011 through November 2015 underwent the drainage procedure according to the novel algorithm and were enrolled in a dedicated prospective registry...
May 26, 2016: Gastrointestinal Endoscopy
Hiroshi Kawakami, Yoshimasa Kubota, Shuhei Kawahata, Kimitoshi Kubo, Shinji Okabayashi, Ryoji Tatsumi, Naoya Sakamoto
No abstract text is available yet for this article.
2016: Endoscopy
Takeshi Ogura, Kazuhide Higuchi
Interventional procedures using endoscopic ultrasound (EUS) have recently been developed. For biliary drainage, EUS-guided trans-luminal drainage has been reported. In this procedure, the transduodenal approach for extrahepatic bile ducts is called EUS-guided choledochoduodenostomy, and the transgastric approach for intrahepatic bile ducts is called EUS-guided hepaticogastrostomy (EUS-HGS). These procedures have several effects, such as internal drainage and avoiding post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis, and they are indicated for an inaccessible ampulla of Vater due to duodenal obstruction or surgical anatomy...
April 21, 2016: World Journal of Gastroenterology: WJG
Pablo Miranda-García, Jean M Gonzalez, Juan I Tellechea, Adrian Culetto, Marc Barthet
BACKGROUND AND STUDY AIMS: Postsurgical benign bilioenteric anastomotic strictures are a major adverse event of biliary surgery and endoscopic treatment, including endoscopic retrograde cholangiopancreatography (ERCP), is challenging in this setting. We present an innovative approach to treating this complication. PATIENTS AND METHODS: Patients underwent endoscopic ultrasound (EUS)-hepaticogastrostomy (HG) to treat nonmalignant biliary obstructions. A first endoscopy was performed to create the hepaticogastrostomy and to drain the biliary tree...
April 2016: Endoscopy International Open
Koichiro Mandai, Koji Uno, Yusuke Okada, Azumi Suzuki, Kenjiro Yasuda
An iincreasing number of reports describe endoscopic ultrasound-guided hepaticogastrostomy for malignant biliary obstruction in patients with endoscopic retrograde cholangiopancreatography failure. However, this procedure has not yet been standardized; as a result, the rate of adverse events, including bile leakage and stent migration, is relatively high. Here, we report our experience with four cases of endoscopic ultrasound-guided hepaticogastrostomy performed according to our institutional procedure.
March 2016: Endoscopy International Open
Reina Tanaka, Shuntaro Mukai, Takao Itoi, Mitsuyoshi Honjo, Takayoshi Tsuchiya
No abstract text is available yet for this article.
August 2016: Gastrointestinal Endoscopy
Kosuke Minaga, Masayuki Kitano, Yukitaka Yamashita, Yasuki Nakatani, Masatoshi Kudo
No abstract text is available yet for this article.
March 11, 2016: Gastrointestinal Endoscopy
Takeshi Ogura, Daisuke Masuda, Toshihisa Takeuchi, Shinya Fukunishi, Kazuhide Higuchi
No abstract text is available yet for this article.
August 2016: Gastrointestinal Endoscopy
Kazuo Hara, Kenji Yamao, Nobumasa Mizuno, Susumu Hijioka, Hiroshi Imaoka, Masahiro Tajika, Tutomu Tanaka, Makoto Ishihara, Nozomi Okuno, Nobuhiro Hieda, Tukasa Yoshida, Yasumasa Niwa
Both endoscopic ultrasonography (EUS)-guided choledochoduodenostomy (EUS-CDS) and EUS-guided hepaticogastrostomy (EUS-HGS) are relatively well established as alternatives to percutaneous transhepatic biliary drainage (PTBD). Both EUS-CDS and EUS-HGS have high technical and clinical success rates (more than 90%) in high-volume centers. Complications for both procedures remain high at 10%-30%. Procedures performed by endoscopists who have done fewer than 20 cases sometimes result in severe or fatal complications...
January 21, 2016: World Journal of Gastroenterology: WJG
Takeshi Ogura, Daisuke Masuda, Toshihisa Takeuchi, Shinya Fukunishi, Kazuhide Higuchi
No abstract text is available yet for this article.
January 2015: Endoscopy
Muhammad Ali Khan, Ali Akbar, Todd H Baron, Sobia Khan, Mehmat Kocak, Yaseen Alastal, Tariq Hammad, Wade M Lee, Aijaz Sofi, Everson L A Artifon, Ali Nawras, Mohammad Kashif Ismail
BACKGROUND AND AIMS: Variable success and adverse event rates have been reported for endoscopic ultrasound-guided biliary drainage (EUS-BD) utilizing either extrahepatic or intrahepatic approach. We aimed to conduct a proportion meta-analysis to evaluate the cumulative efficacy and safety of EUS-BD and to compare the two approaches and transluminal methods of EUS-BD. METHODS: We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, ISI Web of Science, and Scopus from January 2001 through January 5, 2015, to identify studies reporting technical success and adverse events of EUS-BD...
March 2016: Digestive Diseases and Sciences
Ryosuke Tonozuka, Takao Itoi, Atsushi Sofuni, Takayoshi Tsuchiya, Kazuhiko Kasuya
No abstract text is available yet for this article.
April 2016: Gastrointestinal Endoscopy
S Reimão, E Francioni, E Bories, F Caillol, C Pesenti, M Giovannini
INTRODUCTION: Biliary obstruction is preferentially managed by endoscopic retrograde cholangiopancreatography (ERCP). However, after ERCP failed, alternatives include percutaneous transhepatic drainage, surgery and more recently, endoscopic ultrasonography (EUS)-guided hepaticogastrostomy. The limitation of this technique is that the drainage is restricted to the left side. The aim of this study is to describe a new method of drainage of both hepatic ductal systems by hepaticogastrostomy in patients with hilar obstruction...
April 2014: Endoscopic Ultrasound
E Bories, F Caillol, C Pesenti, M Giovannini
BACKGROUND: Biliary drainage guided by echo-endoscopy (EUS) is a recent technique but expanding more and more in addition of retrograde and percutaneous approaches. METHODS: Seventy-three hepaticogastrostomy (HG) were carried out from 2000 to 2013. After exclusion of patients included in a randomized prospective study, data from 60 patients were retrospectively analyzed in order to study the feasibility and early results of this technique. RESULTS: During the study period, 60 patients (woman = 32; median age = 64 years [38-93]) were treated by HG...
April 2014: Endoscopic Ultrasound
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