Conversion of endoscopic ultrasound-guided hepaticogastrostomy to transpapillary drainage by anterograde intervention via dedicated biliary metal stent for benign biliary stenosis.

Published on May 12, 2021in Endoscopy10.093
· DOI :10.1055/A-1486-6510
Antonio Martinez-Ortega (University of Barcelona), Albert Garcia-Sumalla2
Estimated H-index: 2
(University of Barcelona)
+ 3 AuthorsJoan B. Gornals15
Estimated H-index: 15
(Open University of Catalonia)
#1Robert Dorrell (Wake Forest University)H-Index: 5
#2Katelyn E. Madigan (Wake Forest University)H-Index: 2
Last. Rishi Pawa (Wake Forest University)H-Index: 10
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Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HG) is a technique used to access the biliary tree in patients with surgically altered anatomy. Additionally, development of EUS-HG fistula permits intraductal therapy, thereby preventing patients from requiring surgery or percutaneous transhepatic biliary drainage (PTBD), thus decreasing morbidity. This clinical vignette describes an 83-year-old man with a history of gangrenous cholecystitis requiring cholecystectomy, partial gastrectomy, an...
#1Yousuke Nakai (UTokyo: University of Tokyo)H-Index: 53
#2Tatsuya Sato (UTokyo: University of Tokyo)H-Index: 9
Last. Kazuhiko Koike (UTokyo: University of Tokyo)H-Index: 94
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Abstract Background and Aims We previously reported safety and effectiveness of EUS-guided hepaticogastrostomy (EUS-HGS) using a long, partially covered metal stent (LP-CMS) for malignant biliary obstruction (MBO). In this study, we aimed to evaluate long-term outcomes of EUS-HGS in the expanded cohort. Methods A total of 110 patients undergoing EUS-HGS using a LP-CMS in 2 centers were retrospectively studied. Technical and functional success, adverse events, recurrent biliary obstruction (RBO),...
#1Takeshi Ogura (Osaka Medical College)H-Index: 22
#2Mamoru Takenaka (Kindai University)H-Index: 20
Last. Masayuki Kitano (Wakayama Medical University)H-Index: 43
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Background and Objectives: Biliary drainage (BD) under EUS guidance is usually indicated for malignant biliary obstruction. Recently, EUS-guided transluminal treatment has been applied to benign biliary disease (BBD). This multicenter retrospective study evaluated the clinical impact of EUS-guided transluminal stent deployment for BBD with long-term follow-up. Patients and Methods: This retrospective study investigated patients treated between September 2015 and October 2016 at participating hos...
#1Tatsuya Sato (UTokyo: University of Tokyo)H-Index: 9
#2Yousuke Nakai (UTokyo: University of Tokyo)H-Index: 53
Last. Kazuhiko Koike (UTokyo: University of Tokyo)H-Index: 94
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#1Chiara De Cassan (UNIPD: University of Padua)H-Index: 6
#2Erwan BoriesH-Index: 24
Last. Marc GiovanniniH-Index: 62
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Background and Objectives: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) represents an option to treat obstructive jaundice when endoscopic retrograde cholangiopancreatography (ERCP) fails. The success rate of this procedure has been shown to be very high. Up to now, plastic and self-expandable metallic stents (SEMSs) have been employed, each of them presenting some limitations. The aims of this study were to evaluate the technical and functional success rates of EUS-HGS using a ded...
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