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https://www.readbyqxmd.com/read/29774089/different-options-of-endosonography-guided-biliary-drainage-after-endoscopic-retrograde-cholangio-pancreatography-failure
#1
José Celso Ardengh, César Vivian Lopes, Rafael Kemp, José Sebastião Dos Santos
AIM: To investigate the success rates of endosonography (EUS)-guided biliary drainage (EUS-BD) techniques after endoscopic retrograde cholangiopancreatography (ERCP) failure for management of biliary obstruction. METHODS: From Feb/2010 to Dec/2016, ERCP was performed in 3538 patients, 24 of whom (0.68%) suffered failure to cannulate the biliary tree. All of these patients were initially submitted to EUS-guided rendez-vous (EUS-RV) by means of a transhepatic approach...
May 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29729042/transgastric-reintervention-for-self-expandable-metallic-stent-dysfunction-following-eus-guided-hepaticogastrostomy
#2
Tesshin Ban, Hiroshi Kawakami, Yoshimasa Kubota
EUS-guided hepaticogastrostomy (EUS-HGS) using a self-expandable metallic stent (SEMS) is recognized as an alternative to transpapillary access for performing biliary drainage.1,2 However, reintervention to mitigate stent dysfunction remains challenging.3-5 Here, we present a case of successful transgastric exchange of occluded SEMS. A 53-year-old woman with pancreatic cancer was admitted with acute cholangitis. Five months before, she underwent EUS-HGS using partially covered SEMS (6 mm×12 cm Niti-STM S Biliary Stent; Taewoong Medical Co...
May 5, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29676030/eus-guided-hepaticogastrostomy
#3
Masahiro Itonaga, Keiichi Hatamaru, Masayuki Kitano
Recently, EUS-guided biliary drainage (EUS-BD), including rendezvous technique (EUS-RV), choledochoduodenostomy (EUS-CDS), hepaticogastrostomy (EUS-HGS) and antegrade stenting (EUS-AG), is the modality of choice when ERCP fails (1,2). EUS-RV is limited in patients with an accessible ampulla. EUS-CDS is limited in patients with distal bile duct obstruction and normal gastrointestinal anatomy. This article is protected by copyright. All rights reserved.
April 20, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29675964/antegrade-tissue-scraping-through-eus-guided-hepaticogastrostomy-with-video
#4
Takeshi Ogura, Atsushi Okuda, Kazuhide Higuchi
A novel endoscopic device (Fig 1a, Trefle, Piolax Medical Devices, Yokohama, Japan) for collecting sufficient amounts of biliary tract tissue samples under ERCP guidance for pathological diagnosis is now available in Japan [1]. Because of easy accessibility into the biliary tract through the bile duct stricture, this device might be clinically useful via a transluminal approach. Here, we described technical tips for collecting bile-duct tissue samples under EUS-guided antegrade access. A 78-year-old man who had undergone distal gastrectomy with Roux-en-Y gastrojejunostomy to treat a gastric ulcer was referred to our hospital with obstructive jaundice...
April 19, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29667091/clinical-impact-of-the-intra-scope-channel-stent-release-technique-in-preventing-stent-migration-during-eus-guided-hepaticogastrostomy
#5
Akira Miyano, Takeshi Ogura, Kazuhiro Yamamoto, Atsushi Okuda, Nobu Nishioka, Kazuhide Higuchi
BACKGROUNDS: Stent migration following endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) may sometimes be fatal because there are no adhesions between the biliary tract and stomach. To prevent stent migration and minimize the stent length in the abdominal cavity, we recently performed EUS-HGS using the technique of releasing the stent within the scope channel. AIMS: To examine the technical feasibility of the intra-scope channel stent release technique...
April 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29653449/reintervention-for-stent-occlusion-after-endoscopic-ultrasound-guided-hepaticogastrostomy-with-novel-use-of-a-precut-needle-knife
#6
Kosuke Minaga, Mamoru Takenaka, Ayana Okamoto, Shunsuke Omoto, Takeshi Miyata, Hajime Imai, Masatoshi Kudo
No abstract text is available yet for this article.
April 13, 2018: Endoscopy
https://www.readbyqxmd.com/read/29542246/hepatobiliary-and-pancreatic-eus-guided-reintervention-for-extraluminal-stent-migration-after-eus-guided-hepaticogastrostomy
#7
M J Yang, J H Kim, D J Kim, J C Hwang, B M Yoo
No abstract text is available yet for this article.
April 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29532359/feasibility-and-safety-of-endoscopic-ultrasound-guided-biliary-drainage-eus-bd-for-malignant-biliary-obstruction-associated-with-ascites-results-of-a-pilot-study
#8
María Victoria Alvarez-Sánchez, O B Luna, I Oria, K Marchut, F Fumex, G Singier, A Salgado, B Napoléon
BACKGROUND: It has been suggested that EUS-BD may be a feasible and safer alternative to percutaneous transhepatic biliary drainage (PTBD) after failed ERCP in patients with ascites. To date, no study has specifically evaluated the performance of EUS-BD in this context. METHODS: Retrospective analysis was done for patients with and without ascites who underwent EUS-BD for malignant biliary obstruction after failed ERCP between July 2010 and September 2014. Complications and technical and clinical successes between the two groups were compared...
March 12, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29506914/successful-replacement-of-a-metallic-hepaticogastrostomy-stent-dislocated-during-endoscopic-retrograde-cholangiography
#9
Hiroyuki Matsubayashi, Hirotoshi Ishiwatari, Toru Matsui, Kenichiro Imai, Kinichi Hotta, Hiroyuki Ono
In the present case with lower bile duct cancer, an endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) was placed because of repeated obstructions of biliary metallic stent. However, when the HGS was occluded, transpapillary duodenoscopic procedure was again required. During this transpapillary procedure, including biliary balloon cleaning and metallic stent deployment, the HGS stent was dislocated into the stomach. Fortunately, due to the complete fistulization, no bile peritonitis was recognized and an HGS stent could be replaced from the gastric wall three days later...
March 2018: Arab Journal of Gastroenterology: the Official Publication of the Pan-Arab Association of Gastroenterology
https://www.readbyqxmd.com/read/29451173/stent-release-within-scope-channel-technique-to-prevent-stent-migration-during-eus-guided-hepaticogastrostomy-with-video
#10
Takeshi Ogura, Atsushi Okuda, Akira Miyano, Nobu Nishioka, Kazuhide Higuchi
No abstract text is available yet for this article.
January 2018: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29424011/efficacy-of-the-6-mm-fully-covered-self-expandable-metal-stent-during-endoscopic-ultrasound-guided-hepaticogastrostomy-as-a-primary-biliary-drainage-for-the-cases-estimated-difficult-endoscopic-retrograde-cholangiopancreatography-a-prospective-clinical-study
#11
Nozomi Okuno, Kazuo Hara, Nobumasa Mizuno, Takamichi Kuwahara, Hiromichi Iwaya, Ayako Ito, Naosuke Kuraoka, Shimpei Matsumoto, Petcharee Polmanee, Yasumasa Niwa
BACKGROUND AND AIM: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is performed as an alternative to the percutaneous or surgical approach. Despite high success rates, the adverse events rate is high. Recently, we used 6-mm fully covered self-expandable metal stents to prevent adverse events and allow easy re-intervention. The purposes were to evaluate the safety, feasibility, and clinical efficacy. METHODS: A prospective study to confirm the safety of EUS-HGS was carried out in six patients, followed by a trial to evaluate the feasibility and efficacy of EUS-HGS in approximately 12 additional patients...
February 9, 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29399608/endoscopic-ultrasound-guided-hepaticogastrostomy-and-antegrade-clearance-of-biliary-lithiasis-in-patients-with-surgically-altered-anatomy
#12
Amy Hosmer, Mohamed M Abdelfatah, Ryan Law, Todd H Baron
Background and study aims:  Endoscopic retrograde cholangiography (ERC) in patients with complex surgically-altered anatomy (SAA) is technically demanding and has limitations. Developments in EUS-guided procedures allow alternative approaches for patients with altered gastrointestinal anatomy and biliary lithiasis. Patients and methods:  Single-center, retrospective review of prospectively entered patients with SAA who underwent EUS-guided hepaticogastrostomy (HGS) followed by an interval antegrade endoscopic clearance of biliary lithiasis...
February 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29396976/re-intervention-with-endoscopic-ultrasound-guided-hepaticogastrostomy-for-unresectable-hilar-biliary-drainage-using-a-multipath-occlusion-balloon
#13
Daisuke Uchida, Hironari Kato, Hiroyuki Okada
No abstract text is available yet for this article.
April 2018: Endoscopy
https://www.readbyqxmd.com/read/29250585/evaluation-of-a-novel-hybrid-model-mumbai-eus-ii-for-stepwise-teaching-and-training-in-eus-guided-biliary-drainage-and-rendezvous-procedures
#14
Vinay Dhir, Takao Itoi, Nonthalee Pausawasdi, Mouen A Khashab, Manuel Perez-Miranda, Siyu Sun, Do Hyun Park, Takuji Iwashita, Anthony Y B Teoh, Amit P Maydeo, Khek Yu Ho
Background and aims:  EUS-guided biliary drainage (EUS-BD) and rendezvous (EUS-RV) are acceptable rescue options for patients with failed endoscopic retrograde cholangiopancreatography (ERCP). However, there are limited training opportunities at most centers owing to low case volumes. The existing models do not replicate the difficulties encountered during EUS-BD. We aimed to develop and validate a model for stepwise learning of EUS-BD and EUS-RV, which replicates the actual EUS-BD procedures...
November 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29235065/the-intra-conduit-release-method-is-useful-for-avoiding-migration-of-metallic-stents-during-eus-guided-hepaticogastrostomy-with-video
#15
Daisuke Uchida, Hirofumi Kawamoto, Hironari Kato, Daisuke Goto, Takeshi Tomoda, Kazuyuki Matsumoto, Naoki Yamamoto, Shigeru Horiguchi, Koichiro Tsutsumi, Hiroyuki Okada
PURPOSE: Although EUS-guided hepaticogastrostomy (EUS-HGS) with a covered self-expandable metal stent (SEMS) is a useful procedure, it is associated with severe adverse events, including stent migration. We, therefore, developed an intra-conduit release method, and investigated whether the technique yields a safer and more stable procedure. METHODS: The intra-conduit release method is a procedure to release the SEMS in the working channel conduit of the scope for anchoring between the liver and stomach to avoid stent migration...
December 13, 2017: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/29180841/the-role-of-eus-bd-in-the-management-of-malignant-biliary-obstruction-the-indonesian-perspective
#16
Dadang Makmun, Achmad Fauzi, Murdani Abdullah, Ari Fahrial Syam
Aims: To evaluate the success rate and related factors of endoscopic ultrasound guided-biliary drainage (EUS-BD). Material and Methods: We conducted a retrospective study among 24 patients with malignant biliary obstruction who underwent EUS-BD after failed ERCP from January 2015 to December 2016 in a tertiary health center. The bilirubin levels before and after the procedure were used to define the clinical success rate, while the stent deployment was used to define the technical success rate...
2017: Diagnostic and Therapeutic Endoscopy
https://www.readbyqxmd.com/read/29095426/eus-guided-choledochoduodenostomy-versus-hepaticogastrostomy-a-systematic-review-and-meta-analysis
#17
Ricardo S Uemura, Muhammad Ali Khan, José P Otoch, Michel Kahaleh, Edna F Montero, Everson L A Artifon
BACKGROUND AND AIMS: Endoscopic ultrasound-guided biliary drainage (EUS-BD) has emerged as an alternative in cases of endoscopic retrograde cholangiopancreatography (ERCP) failure. Two types of EUS-BD methods for achieving biliary drainage when ERCP fails are choledochoduodenostomy (CDS) or hepaticogastrostomy (HGS). However, there is no consensus if one approach is better than the other. Therefore, we conducted a systematic review and meta-analysis to evaluate these 2 main EUS-BD methods...
February 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29055054/multicenter-prospective-evaluation-study-of-endoscopic-ultrasound-guided-hepaticogastrostomy-combined-with-antegrade-stenting-with-video
#18
Takeshi Ogura, Masayuki Kitano, Mamoru Takenaka, Atsushi Okuda, Kosuke Minaga, Kentaro Yamao, Yukitaka Yamashita, Keiichi Hatamaru, Chishio Noguchi, Yasuhiko Gotoh, Taira Kuroda, Tomoyuki Yokota, Hidefumi Nishikiori, Ryota Sagami, Kazuhide Higuchi, Yasutaka Chiba
BACKGROUND AND AIM: Endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) is often indicated for advanced stage patients. Therefore it is important to prevent adverse events associated with EUS-HGS procedures and obtain long stent patency. EUS-guided antegrade stenting (AS) has been developed as an advanced technique. Thus, to prevent adverse events and achieve long stent patency, EUS-AS combined with EUS-HGS (EUS-HGAS) has been reported. The aim of the present study was to evaluate the technical feasibility and efficacy of EUS-HGAS in a multicenter, prospective study...
March 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29041017/single-session-eus-guided-hepaticogastrostomy-and-dual-scope-gastroenterostomy-a-modified-technique-for-palliative-double-endoscopic-biliary-and-gastric-bypass
#19
Manuel Alejandro Mahler, Robin German Prieto, Inés Oria, Guido Villa-Gómez, Gustavo Vidales, Manuel Perez-Miranda
No abstract text is available yet for this article.
January 2018: Endoscopy
https://www.readbyqxmd.com/read/28982258/international-study-of-endoscopic-management-of-distal-malignant-biliary-obstruction-combined-with-duodenal-obstruction
#20
Tsuyoshi Hamada, Yousuke Nakai, James Y Lau, Jong Ho Moon, Tsuyoshi Hayashi, Ichiro Yasuda, Bing Hu, Dong-Wan Seo, Hiroshi Kawakami, Masaki Kuwatani, Akio Katanuma, Masayuki Kitano, Shomei Ryozawa, Keiji Hanada, Takuji Iwashita, Yukiko Ito, Hiroshi Yagioka, Osamu Togawa, Iruru Maetani, Hiroyuki Isayama
OBJECTIVE: Endoscopic transpapillary or endoscopic ultrasound (EUS)-guided stent placement is used for nonresectable distal malignant biliary obstruction. We conducted a retrospective study to evaluate endoscopic biliary drainage in patients with duodenal obstruction. METHODS: We included consecutive patients who underwent endoscopic biliary drainage combined with a duodenal stent at 16 referral centers in four Asian countries. The primary outcome was time to recurrent biliary obstruction (TRBO)...
January 2018: Scandinavian Journal of Gastroenterology
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