Endoscopic Ultrasonography-Guided Transgastric Biliary Drainage Aided by Soehendra Stent Retriever

Initial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage: a Spanish national survey

“…The use of a needle instead of a needle knife is safer, but it may result in insufficient fistula dilation for stent insertion. 22 The dilation of the fistulous track is a controversial issue, dilation with a bougie being the preferred option by most authors, 9,15,42 while others recommend dilation with a cystotome. 14 Then, the choice between plastic or metal covered stent must be made, with the latter being supported by recent publications.…”

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

“…Different techniques have been used to perform this dilation such as bougie catheters, balloon dilation, cautery with a needle-knife or even Soehendra retriever (7). In this case, we decided to use needle-knife cautery in order to achieve a stable position as soon as possible, avoiding movements of the endoscope related to efforts for mechanical dilation.…”

“…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).…”

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

“…EUS-BD can be unsuccessful due to failure of this step. Mechanical dilatation using a biliary dilatation catheter (bougie catheter) or balloon dilator or cautery dilation using a co-axial cautery dilator is performed [71,[89][90][91][92][93]. Although dilatation of a fistula using an electric cautery device is technically easy, it has risks of bleeding, perforation, penetration, and incorrect puncture.…”