A newly designed plastic stent for EUS-guided hepaticogastrostomy: a prospective preliminary feasibility study (with videos)

Umeda, Junko; Itoi, Takao; Tsuchiya, Takayoshi; Itokawa, Fumihide; Ishii, Kentaro; Tsuji, Shujiro; Ikeuchi, Nobuhito; Kamada, Kei; Tanaka, Reina; Tonozuka, Ryosuke; Honjo, Megumi; Mukai, Shuntaro; Fujita, Masatoshi; Moriyasu, Fuminori

doi:10.1016/j.gie.2015.02.041

Cited by 129 publications

(105 citation statements)

References 13 publications

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“…In a retrospective analysis of 121 EUS‐BD , the use of a plastic stent was significantly associated with adverse event rate (OR 4.95, P = 0.01). Although a dedicated plastic stent for EUS‐BD has been developed, the rate of adverse events was 17.4% (three mild pain and one moderate bleeding) in a prospective feasibility study , which appeared comparable to the conventional plastic stents. Use of braided‐type SEMSs with a high shortening rate requires some technical skill because of the potential for adverse events, such as stent migration or dislocation .…”

Section: Questions and Clinical Questions Of The Guidelinesmentioning

confidence: 83%

“…The stent occlusion rate (stent dysfunction or re‐intervention) is reportedly 15% (70/434 cases) . There is no significant difference in the stent occlusion rate between CDS (19%) and HGS (13%).…”

Section: Questions and Clinical Questions Of The Guidelinesmentioning

confidence: 97%

“…A pooled analysis of early adverse events among studies involving ≥20 cases yielded an incidence of early adverse events of 14.6% (100/755 cases) . The summary below includes all adverse events reported in each study (Table ).…”

Section: Questions and Clinical Questions Of The Guidelinesmentioning

confidence: 99%

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Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018

Isayama

Nakai

Itoi

et al. 2019

J Hepato Biliary Pancreat

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127

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Endoscopic ultrasound/ultrasonography‐guided biliary drainage (EUS‐BD) is a relatively new modality for biliary drainage after failed or difficult transpapillary biliary cannulation. Despite its clinical utility, EUS‐BD can be complicated by severe adverse events such as bleeding, perforation, and peritonitis. The aim of this paper is to provide practice guidelines for safe performance of EUS‐BD as well as safe introduction of the procedure to non‐expert centers. The guidelines comprised patient–intervention–comparison–outcome‐formatted clinical questions (CQs) and questions (Qs), which are background statements to facilitate understanding of the CQs. A literature search was performed using the PubMed and Cochrane Library databases. Statement, evidence level, and strength of recommendation were created according to the GRADE system. Four committees were organized: guideline creation, expert panelist, evaluation, and external evaluation committees. We developed 13 CQs (methods, device selection, supportive treatment, management of adverse events, education and ethics) and six Qs (definition, indication, outcomes and adverse events) with statements, evidence levels, and strengths of recommendation. The guidelines explain the technical aspects, management of adverse events, and ethics of EUS‐BD and its introduction to non‐expert institutions.

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Section: Questions and Clinical Questions Of The Guidelinesmentioning

confidence: 83%

Section: Questions and Clinical Questions Of The Guidelinesmentioning

confidence: 97%

See 1 more Smart Citation

Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018

Isayama

Nakai

Itoi

et al. 2019

J Hepato Biliary Pancreat

Self Cite

105

127

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“…54 Analysis of risk factors for adverse events showed that use of plastic stents and non-coaxial electrocautery for fistula dilation were independently associated with an increased risk of adverse events. 65 66 Two prospective randomized studies comparing EUS-BD and PTBD after failed ERCP reported that these methods have similar levels of efficacy, based on technical and clinical success rates and quality of life. New comfortable stenting devices that prevent complications related to EUS-BD are therefore needed.…”

Section: Adverse Eventsmentioning

confidence: 99%

Recent advances in endoscopic ultrasound‐guided biliary drainage

Minaga

Kitano

2017

Digestive Endoscopy

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Endoscopic ultrasound-guided biliary drainage (EUS-BD) is increasingly used as an alternative in patients with biliary obstruction who fail standard endoscopic retrograde cholangiopancreatography (ERCP). The two major endoscopic approach routes for EUS-BD are the transgastric intrahepatic and the transduodenal extrahepatic approaches. Biliary drainage can be achieved by three different methods, transluminal biliary stenting, transpapillary rendezvous technique, and antegrade biliary stenting. Choice of approach route and drainage method depends on individual anatomy, underlying disease, and location of the biliary stricture. Recent meta-analyses have revealed that cumulative technical success and adverse event rates were 90-94% and 16-23%, respectively. Development of new dedicated devices for EUS-BD would help refine the technical aspects and minimize the possibility of complications, making it a more promising procedure.

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“…Multi‐step EUS‐AG could broaden available device selection because the matured fistula allowed larger‐size devices to be used . Although the method used to maintain the fistula was a concern for the multi‐step approach, this specially designed plastic stent enabled the fistula to be maintained safely and internally, unlike nasobiliary drainage which can increase patient discomfort and has a risk of accidental removal of the tube because of its external drainage. In summary, multi‐step EUS‐AG using a specially designed plastic stent could enable the management of even difficult BDS because of more choices in device selection.…”

mentioning

confidence: 99%

Endoscopic ultrasonography‐guided antegrade treatment for bile duct stone with multi‐step approach in a patient with surgically altered anatomy

Iwashita

Uemura

Shimizu

2018

Digestive Endoscopy

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A newly designed plastic stent for EUS-guided hepaticogastrostomy: a prospective preliminary feasibility study (with videos)

Cited by 129 publications

References 13 publications

Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018

Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography‐guided biliary drainage: 2018

Recent advances in endoscopic ultrasound‐guided biliary drainage

Endoscopic ultrasonography‐guided antegrade treatment for bile duct stone with multi‐step approach in a patient with surgically altered anatomy

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