Echoguided Hepatico-Gastrostomy: A Case Report

Artifon, Everson L.; Chaves, Dalton Marques; Ishioka, Shinichi; Souza, Thiago Ferreira de; Matuguma, Sérgio; Sakai, Paulo

doi:10.1590/s1807-59322007000600023

Cited by 50 publications

(31 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many descriptive series of ESCP have been published in the last decade with a clinical success rate (considered as jaundice resolution) of 75-100% of patients, but with a high morbidity rate of 10-36%, although death has been rarely described and not related to the procedure itself (6)(7)(8). Most of these patients were tackled by means of transgastric or transduodenal drainage, but transjejunal biliary drainage has been also previously described in a total of six patients with Roux-en-Y reconstruction, with good results (4)(5)(6).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound guided fistulization between left intrahepatic duct and jejunum in a patient with Roux-en-Y anastomosis and jaundice

Artifon¹,

Vila²,

Aparicio³

et al. 2011

Rev. esp. enferm. dig.

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound guided fistulization between left intrahepatic duct and jejunum in a patient with Roux-en-Y anastomosis and jaundice

Artifon¹,

Vila²,

Aparicio³

et al. 2011

Rev. esp. enferm. dig.

Self Cite

View full text Add to dashboard Cite

“…Доказательная гастроэнтерология, 1,2016 Однако в течение 2 сут отмечено дальнейшее снижение гемоглобина со 107 до 87 г/л, а по наруж-ной холангиостоме продолжала поступать желчь с геморрагическим содержимым, в связи с чем было высказано предположение о травме крупной сосу-дистой структуры.…”

Section: малоинвазивное лечение гемобилииunclassified

“…Доказательная гастроэнтерология, 1,2016 малОинвазивнОе лечение гемОбилии Учитывая повреждение артериальной ветви, от пломбировки дренажного хода консилиумом было принято решение отказаться в пользу ангиографии ветвей общей печеночной артерии с целью выпол-нения селективной эмболизации поврежденной ар-терии.…”

Section: рис 4 наличие в просвете внепеченочных желчных протоков (уunclassified

“…При механической желтухе, обусловленной опу-холевой обструкцией желчных протоков, наиболее эффективным методом желчеотведения признано транспапиллярное стентирование внепеченочных желчных протоков, являющееся в настоящее время «золотым стандартом» помощи данной категории пациентов [1]. Однако при невозможности осущест-вления ретроградного доступа альтернативой служат чрескожные дренирующие вмешательства под уль-тразвуковым или рентгенологическим контролем, а также хирургическое лечение [2].…”

unclassified

“…Все эти подходы сопряжены с потенциальным риском серьезных ос-ложнений, одним из которых является кровотече-ние. Так, при чрескожных чреспеченочных дрениру- 1 Кафедра госпитальной хирургии №2 с научно-исследовательской лабораторией хирургической гастроэнтерологии и эндоскопии ГБоу вПо «Российский национальный исследовательский медицинский университет им. Н.и.…”

unclassified

See 2 more Smart Citations

The combined minimally invasive treatment of hemobilia developing after percutaneous drainage of the biliary tract in the patients presenting with mechanical jaundice of blastomatous genesis

Будзинский¹,

Горбачев²,

Фрейдович³

et al. 2016

Dok. gastroenterol.

View full text Add to dashboard Cite

№2 with the research laboratory of surgical gastroenterology and endoscopy, N.i. Pirogov Russian National Research medical university, moscow; 2 city clinical hospital №31, moscow health Department, moscow one of the causes of mechanical jaundice is the blockade of the bile ducts by a tumour. The most efficient method for the drainage of the obstructed biliary tract is transcapillary stenting of the extrahepatic bile ducts that is currently considered to be the «golden standard» in the treatment of this pathology. Whenever the retrograde access is impracticable, the alternative methods can be used including either percutaneous drainage under ultrasound or X-ray control or the surgical intervention. all these approaches are associated with the serious risk of hemorrhage. For example, percutaneous transhepatic drainage is known to cause bleeding in 2-3% of the cases while retrograde interventions result in hemorrhage in 1.2-1.5% of the clinical situations. The present article reports the experience with the combined minimally invasive treatment of hemobilia known to develop after percutaneous transcutaneous drainage of the biliary tract as exemplified by the management of a patient presenting with mechanical jaundice of blastomatous genesis.Keywords: tumour of the head of the pancreas, mechanical jaundice, angiography, endoscopic bilio-duodenal prosthetics.

show abstract

Endoscopic ultrasound-guided biliary drainage of hilar biliary obstruction

Park

2015

J Hepatobiliary Pancreat Sci

View full text Add to dashboard Cite

Only 20-30% of patients with hilar cholangiocarcinoma (CC) are candidates for potentially curative resection. However, even after curative (R0) resection, these patients have a disease recurrence rate of up to 76%. The prognosis of hilar cholangiocarcinoma (CC) is limited by tumor spread along the biliary tree leading to obstructive jaundice, cholangitis, and liver failure. Therefore, palliative biliary drainage may be a major goal for patients with hilar CC. Endoscopic retrograde cholangiopancreatography (ERCP) with stent placement is an established method for palliation of patients with malignant biliary obstruction. However, there are patients for whom endoscopic stent placement is not possible because of failed biliary cannulation or tumor infiltration that limits transpapillary access. In this situation, percutaneous transhepatic biliary drainage (PTBD) is an alternative method. However, PTBD has a relatively high rate of complications and is frequently associated with patient discomfort related to external drainage. Endoscopic ultrasound-guided biliary drainage has therefore been introduced as an alternative to PTBD in cases of biliary obstruction when ERCP is unsuccessful. In this review, the indications, technical tips, outcomes, and the future role of EUS-guided intrahepatic biliary drainage, such as hepaticogastrostomy or hepaticoduodenostomy, for hilar biliary obstruction will be summarized.

show abstract

Echoguided Hepatico-Gastrostomy: A Case Report

Cited by 50 publications

References 14 publications

Endoscopic ultrasound guided fistulization between left intrahepatic duct and jejunum in a patient with Roux-en-Y anastomosis and jaundice

Endoscopic ultrasound guided fistulization between left intrahepatic duct and jejunum in a patient with Roux-en-Y anastomosis and jaundice

The combined minimally invasive treatment of hemobilia developing after percutaneous drainage of the biliary tract in the patients presenting with mechanical jaundice of blastomatous genesis

Endoscopic ultrasound-guided biliary drainage of hilar biliary obstruction

Contact Info

Product

Resources

About