EUS-guided drainage of a 20-cm biloma by use of a lumen-apposing metal stent

Cassis, Paul; Shah-Khan, Sardar M.; Nasr, John

doi:10.1016/j.vgie.2019.09.009

Cited by 4 publications

(8 citation statements)

References 7 publications

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“…Several reports regarding EUS-TBD have been published to date 10 11 12 13 14 15 16 17 . In the first published case series, Shami et al described EUS-guided drainage in five patients who had complicated symptomatic biloma 12 .…”

Section: Discussionmentioning

confidence: 99%

“…More recently, various interventions have emerged that are performed under EUS guidance. Several reports regarding EUS-TBD have been published to date [10][11][12][13][14][15][16][17]. In the first published case series, Shami et al described EUS-guided drainage in five patients complicated with symptomatic biloma [12].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Therefore, LAMS might be preference compared with tubular SEMS. Although Cassis P, et al reported successful treatment case of biloma by EUS-guided drainage using LAMS [14].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Endoscopic ultrasound (EUS)-guided drainage techniques for biliary obstruction, pancreatic fluid collection, and cholecystitis have recently emerged 7 8 9 . EUS-guided transluminal biloma drainage (EUS-TBD) has also been reported 10 11 12 13 14 15 16 17 . However, almost all previous studies regarding the endoscopic approach have used both internal and external drainage.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of exclusive internal endoscopic drainage for complex biloma with transluminal and transpapillary stenting

Sakamoto,

Ogura,

Ueno

et al. 2024

Endosc Int Open

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Background and study aims Biloma is treated endoscopically with endoscopic retrograde cholangiography (ERCP) or endoscopi ultrasound-guided transluminal biloma drainage (EUS-TBD). However, almost all previous studies have used both internal and external drainage. External drainage has the disadvantages of poor cosmetic appearance and self-tube removal. The aim of the present study was to evaluate the internal endoscopic drainage for complex biloma after hepatobiliary surgery with an ERCP- or EUS-guided approach, without external drainage. Patients and methods This retrospective study included consecutive patients who had bilomas. A 7F plastic stent was deployed from the biloma to the duodenum in the ERCP group and the metal stent was deployed from the biloma to the stomach in the EUS-TBD group. Results Forty-seven patients were enrolled. The technical success rate was similar between the groups (ERCP 94% vs EUS-TBD 100%, P=0.371); however, mean procedure time was significantly shorter in the EUS-TBD group (16.9 minutes) than in the ERCP group (26.6 minutes) (P=0.009). The clinical success rate was 87% (25 of 32 patients) in the ERCP group and 84% (11 of 13 patients) in the EUS-TBD group (P=0.482). The duration of median hospital stay was significantly shorter in the EUS-TBD group (22 days) than in the ERCP group (46 days) (P=0.038). There was no significant difference in procedure-associated adverse events between the groups. Conclusions In conclusion, ERCP and EUS-TBD are complementary techniques, each with its own merits in specific clinical scenarios. If both techniques can be performed, EUS-TBD should be considered because of the short times for the procedure, hospital stay. and biloma resolution.

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Section: Discussionmentioning

confidence: 99%

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Therefore, LAMS might be preference compared with tubular SEMS. Although Cassis P, et al reported successful treatment case of biloma by EUS-guided drainage using LAMS [14].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of exclusive internal endoscopic drainage for complex biloma with transluminal and transpapillary stenting

Sakamoto,

Ogura,

Ueno

et al. 2024

Endosc Int Open

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“…No Yes 2016 Kumta et al [27] 55/F Abscess Metalic N/A Transgastric No Yes 2017 Yamamoto et al [28] 65/M Abscess Metalic N/A Transduodenal No Yes 2020 Cassis et al [29] 65/M Biloma Metalic 200 mm Transduodenal No Yes 2021 Chandra et al [30] 30/M Abscess Plastic + naso-biliary tube N/A Transgastric No Yes 2021 Chandra et al [30] 24/M Abscess Naso-biliary tube N/A Transgastric No Yes 2021 Chandra et al [30] 55/M Abscess Naso-biliary tube N/A N/A No Yes 2021 Molinario et al [31] 82/M Abscess Metalic 100 mm Transgastric No Yes 2021 Baron et al [32] 80/F Cyst Plastic 140 mm Transduodenal No Yes 2022 Lorenzo et al [33] Mean 49 M:…”

Section: Transgastricmentioning

confidence: 99%

Liver cyst with biliary communication treated with endoscopic ultrasound-guided drainage

et al. 2022

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Rationale: Simple liver cysts are common, and usually benign and asymptomatic, requiring little to no treatment. Liver cysts with biliary communication, however, are rare and require effective treatment to avoid recurrence.Patient concerns: A 70-year-old woman with breast cancer visited our hospital for treatment. Physical examination revealed abdominal distension and bilateral lower leg edema.Diagnosis: Abdominal contrast-enhanced computed tomography revealed a giant liver cyst, inducing inferior vena cava compression that was causing her edema.Interventions: Percutaneous transhepatic cyst drainage was performed. Since the bilirubin level in the drained fluid was high, the patient was diagnosed with a liver cyst with biliary communication. After the procedure, her symptoms improved and the cyst decreased in size. However, the drainage volume did not decrease after approximately 2 weeks. Sclerotherapy with minocycline was ineffective. Thus, endoscopic retrograde cholangiopancreatography was performed, and an endoscopic nasobiliary drainage tube was inserted. The percutaneous drainage tube was clamped, and the cyst showed increase in size. Therefore, endoscopic ultrasound-guided cyst drainage, which is less invasive than surgery, was performed.Outcomes: The cyst tended to decrease in size even after the percutaneous drainage tube had been removed. At 3 years followup, the cyst has almost disappeared.Lessons: Endoscopic ultrasound-guided drainage can treat liver cyst with biliary communication.

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EUS-guided Drainage of Postoperative Fluid Collections

Bogte,

Vleggaar

2022

Atlas of Interventional EUS

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EUS-guided drainage of a 20-cm biloma by use of a lumen-apposing metal stent

Cited by 4 publications

References 7 publications

Evaluation of exclusive internal endoscopic drainage for complex biloma with transluminal and transpapillary stenting

Evaluation of exclusive internal endoscopic drainage for complex biloma with transluminal and transpapillary stenting

Liver cyst with biliary communication treated with endoscopic ultrasound-guided drainage

EUS-guided Drainage of Postoperative Fluid Collections

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