EUS-guided Versus Percutaneous Gallbladder Drainage

Tyberg, Amy; Saumoy, Monica; Vazquez-Sequeiros, Enrique; Giovannini, Marc; Artifon, Everson L.A.; Teoh, Anthony Yuen Bun; Nieto, José; Desai, Amit P.; Kumta, Nikhil A.; Gaidhane, Monica; Sharaiha, Reem Z.; Kahaleh, Michel

doi:10.1097/mcg.0000000000000786

Cited by 117 publications

(114 citation statements)

References 23 publications

Supporting

Mentioning

107

Contrasting

Order By: Relevance

“…The advent of LAMS has made tremendous impact on the performance of EUS‐guided anastomosis to the bile ducts, gallbladder and the gastrointestinal tract . However, whether the use of LAMS improves outcomes for drainage of PFC is controversial.…”

Section: Discussionmentioning

confidence: 99%

Prospective multicenter international study on the outcomes of a newly developed self‐approximating lumen‐apposing metallic stent for drainage of pancreatic fluid collections and endoscopic necrosectomy

Teoh

Bapaye

Lakhtakia

et al. 2019

Digestive Endoscopy

View full text Add to dashboard Cite

Background A novel self‐approximating lumen‐apposing metallic stent (LAMS; Niti‐S Spaxus, Taewoong Medical, Gyeonggi‐do, Korea) has recently become available. The aim of the present study was to evaluate the outcomes for drainage of pancreatic fluid collections (PFC). Methods This was a prospective international multicentered study conducted in six high‐volume institutions across Asia. Consecutive patients suffering from pancreatic pseudocyst or walled‐off pancreatic necrosis (WOPN) requiring endoscopic ultrasonography‐guided drainage were recruited. Outcomes included technical and clinical success, adverse events, procedural events, interventions through the stent and recurrence rates. Results Between August 2016 and November 2017, 59 patients were recruited to this study. Thirty‐nine patients (66.1%) had WOPN and mean (SD) size of PFC was 11.5 (5.1) cm. Technical and clinical success rates were 100%. Mean (SD) procedural time was 35.0 (17.2) minutes. Sixteen‐millimeter stents were used in 66.1% of the patients. Fifty‐four sessions of necrosectomy were carried out with the stent in situ in 17 patients. Stent‐related adverse event (AE) rate was 6.8%. Three patients (5.1%) suffered from bleeding after stenting and one required angiographic embolization. Two patients (3.4%) suffered from recurrence during a mean (SD) follow‐up time of 325.6 (355.5) days. There were no differences in outcomes between those with pseudocysts or WOPN except for the duration of hospital stay (P = 0.012). Conclusion Use of a self‐approximating LAMS for drainage of PFC was safe and effective. Endoscopic necrosectomy could be carried out through the stent with ease. The device was associated with a low rate of stent‐related AE.

show abstract

Section: Discussionmentioning

confidence: 99%

Prospective multicenter international study on the outcomes of a newly developed self‐approximating lumen‐apposing metallic stent for drainage of pancreatic fluid collections and endoscopic necrosectomy

Teoh

Bapaye

Lakhtakia

et al. 2019

Digestive Endoscopy

View full text Add to dashboard Cite

show abstract

“…A total of six studies met the above-mentioned criteria 4,12–16. Two studies were excluded as they included primary EGBD cases where ERCP was not tried as the primary procedure 18,19. A third study was excluded as they did not include the adverse event profile 20…”

Section: Methodsmentioning

confidence: 99%

Endoscopic ultrasound-guided biliary drainage versus percutaneous transhepatic biliary drainage after failed endoscopic retrograde cholangiopancreatography: a meta-analysis

Baniya¹,

Upadhaya²,

Madala³

et al. 2017

CEG

View full text Add to dashboard Cite

The failure rate of endoscopic retrograde cholangiopancreatography for biliary cannulation is approximately 6%–7% in cases of obstructive jaundice. Percutaneous transhepatic biliary drainage (PTBD) is the procedure of choice in such cases. Endoscopic ultrasound-guided biliary drainage (EGBD) is a novel technique that allows biliary drainage by echoendoscopy and fluoroscopy using a stent from the biliary tree to the gastrointestinal tract. Information in PubMed, Scopus, clinicaltrials.gov and Cochrane review were analyzed to obtain studies comparing EGBD and PTBD. Six studies fulfilled the inclusion criteria. Technical (odds ratio (OR): 0.34; confidence interval (CI) 0.10–1.14; p=0.05) and clinical (OR: 1.48; CI 0.46–4.79; p=0.51) success rates were not statistically significant between the EGBD and PTBD groups. Mild adverse events were nonsignificantly different (OR: 0.36; CI 0.10–1.24; p=0.11) but not the moderate-to-severe adverse events (OR: 0.16; CI 0.08–0.32; p≤0.00001) and total adverse events (OR: 0.34; CI 0.20–0.59; p≤0.0001). EGBD is equally effective but safer than PTBD.

show abstract

“…According to previous reports, there is no evidence of clinical differences between use of the two sites. Tyberg et al . evaluated the clinical differences between transgastric and transduodenal approaches to EUS‐GBD.…”

Section: Technical Review Of Eus‐gbdmentioning

confidence: 99%

“…Next, before insertion of the conventional drainage devices, such as the plastic stent, SEMS, or cold AXIOS (Boston Scientific, Japan), the gastrointestinal and gallbladder wall need to be dilated. According to previous reports, a 6‐ or 7‐Fr bougie, tapered catheter, or 4‐mm balloon were most commonly used for dilatation. If there is still some resistance to passage of the stent delivery system, some authors used a needle‐knife or electrocautery.…”

Section: Technical Review Of Eus‐gbdmentioning

confidence: 99%

“…Recently, endoscopic ultrasound (EUS)‐guided transluminal drainage techniques have been developed for managing a variety of conditions, such as hepaticogastrostomy (HGS), pseudocyst drainage, pancreaticogastrostomy, and choledochoduodenostomy (CDS) . More recently, EUS‐guided gallbladder drainage (EUS‐GBD) is increasingly being carried out as an alternative method to PTGBD and ETGBD …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic ultrasound‐guided gallbladder drainage: Current status and future prospects

Ogura

Higuchi

2019

Digestive Endoscopy

View full text Add to dashboard Cite

Early surgical treatment using the laparoscopic approach is generally accepted as the treatment of choice for acute cholecystitis (AC) according to Tokyo Guidelines 2018 (TG2018). If the patient is a poor candidate for surgery because of the presence of advanced malignancy or severe organ failure, this treatment may be too invasive. In such cases, gallbladder drainage is considered an alternative treatment method to surgery. Several drainage methods have been established, such as percutaneous transhepatic gallbladder drainage (PTGBD) or endoscopic transpapillary gallbladder drainage (ETGBD) under endoscopic retrograde cholangiopancreatography (ERCP), including endoscopic naso‐gallbladder drainage (ENGBD) and endoscopic gallbladder stenting (EGBS). PTGBD is a well‐established procedure that is relatively easily carried out by general clinicians. And ETGBD has been developed as an alternative drainage method. The procedure also calls for guidewire passage across the cystic duct. Therefore, in AC cases who are contraindicated for surgery, PTGBD should be considered before ETGBD, and ETGBD may be considered only in high‐volume institutes where expert hands are available, as described in the TG2018. However, there are several limitations to these procedures. Recently, endoscopic ultrasound‐guided gallbladder drainage (EUS‐GBD) is increasingly being done as an alternative method to PTGBD and ETGBD. In this review, the current status and problems of EUS‐GBD are reviewed, including technical review and clinical data of previous papers, current indication, long‐term outcome, and comparison data with PTGBD or ETGBD, and their future prospects are discussed.

show abstract

EUS-guided Versus Percutaneous Gallbladder Drainage

Abstract: EUS-GLB is safe and efficacious, with comparable technical and clinical success rates and no difference in adverse events. In addition, EUS-GLB offers a potential cost-saving benefit and morbidity benefit by demonstrating a decreased number of repeat interventions.

Cited by 117 publications

References 23 publications

Prospective multicenter international study on the outcomes of a newly developed self‐approximating lumen‐apposing metallic stent for drainage of pancreatic fluid collections and endoscopic necrosectomy

Prospective multicenter international study on the outcomes of a newly developed self‐approximating lumen‐apposing metallic stent for drainage of pancreatic fluid collections and endoscopic necrosectomy

Endoscopic ultrasound-guided biliary drainage versus percutaneous transhepatic biliary drainage after failed endoscopic retrograde cholangiopancreatography: a meta-analysis

Endoscopic ultrasound‐guided gallbladder drainage: Current status and future prospects

Contact Info

Product

Resources

About