Long-term outcomes of a newly developed hybrid metal stent for EUS-guided biliary drainage (with videos)

Cho, Dong Hui; Lee, Sang Soo; Oh, Dongwook; Song, Tae Jun; Park, Do Hyun; Seo, Dong Wan; Lee, Sung Koo; Kim, Myung–Hwan

doi:10.1016/j.gie.2016.09.010

Cited by 102 publications

(100 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since its first description in 2001, EUS-BD has been reported by multiple authors with high success and acceptable complication rate, suggesting it is an effective alternative to PTBD or biliary bypass surgery after failed ERCP [9–13, 16, 17]. In the current study, EUS-BD using SEMS showed satisfactory clinical efficacy with low complication rate, which were consistent with those of previous single-center reports (Table 3) [12, 18–31]. No spontaneous stent migration or bile leakage was observed.…”

Section: Discussionsupporting

confidence: 89%

Endoscopic Ultrasound-Guided Biliary Drainage Using Self-Expandable Metal Stent for Malignant Biliary Obstruction

Lü

Tang

Jin

et al. 2017

Gastroenterology Research and Practice

View full text Add to dashboard Cite

Purpose. Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been increasingly reported worldwide. However, studies concerning EUS-BD from Mainland China are sporadic. This study aims to investigate the feasibility, efficacy, and safety of EUS-BD using SEMS in a single center from Mainland China. Methods. Between November 2011 and August 2015, 24 patients underwent EUS-BD using a standardized algorithm. Results. Three patients underwent rendezvous technique (RV), 4 underwent hepaticogastrostomy (HGS), and 17 underwent choledochoduodenostomy (CDS). The technical and clinical success rates were 95.8% (23/24) and 100% (23/23), respectively. Mean procedure time for the CDS group (35.9 ± 5.0 min) or HGS group (39.3 ± 5.0 min) was significantly shorter than that for the RV group (64.7 ± 9.1 min) (P < 0.05). Complications (13%) included (1) cholangitis and (2) postprocedure hemorrhage. During the follow-up periods (mean 6.4 months), 22 (91.7%) patients died of tumor progression with mean stent patency of 5.8 ± 2.2 months. Stent occlusion occurred in 2 (8.7%) patients. Conclusion. EUS-BD using SEMS is a feasible, effective, and safe alternative for biliary decompression after failed ERCP. EUS-RV may not be the first-line choice for EUS-BD in a medium volume center. Further evaluation and experience of this method are needed.

show abstract

Section: Discussionsupporting

confidence: 89%

Endoscopic Ultrasound-Guided Biliary Drainage Using Self-Expandable Metal Stent for Malignant Biliary Obstruction

Lü

Tang

Jin

et al. 2017

Gastroenterology Research and Practice

View full text Add to dashboard Cite

show abstract

“…26 Metal stents longer than 4 cm have been used to prevent internal stent migration. 26,27 A recent study described the performance of EUS-CDS in 57 patients using a novel lumen-apposing metal stent (LAMS), resulting in high technical and clinical success rates. 28 The new LAMS has multiple advantages including avoidance of puncture and guidewire insertion, especially within the context of the Hot-Axios system (XLumina Axios, Boston Scientific, Natick, MA, USA).…”

Section: Stent Deploymentmentioning

confidence: 99%

“…New comfortable stenting devices that prevent complications related to EUS-BD are therefore needed. Recent studies have described the development of specially designed and modified stents for EUS-BD, including lumen-apposing metal stents (LAMS); 28,60-62 hybrid metal stents consisting of uncovered proximal portions and covered distal portions; 27,63 hook stents (laser-cut metal stents with anchoring hooks) 64 ; and 8-Fr single-pigtail plastic stents with four flanges dedicated for EUS-HGS. 65 These new devices are expected to reduce rates of stent-related adverse events.…”

Section: Adverse Eventsmentioning

confidence: 99%

Recent advances in endoscopic ultrasound‐guided biliary drainage

Minaga

Kitano

2017

Digestive Endoscopy

View full text Add to dashboard Cite

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.

show abstract

“…Although EUS-guided biliary drainage, such as hepaticogastrostomy (HGS), offers an alternative method to percutaneous transhepatic biliary drainage [2][3][4][5] , various adverse events such as stent migration into the abdominal cavity are associated with EUS-HGS and considerable effort has been directed towards preventing them [4,5] . Despite these efforts, adverse events such as infected biloma after EUS-HGS still arise due to frequent reflux cholangitis through EUS-HGS stent, or bile duct obstruction by a covered metal stent [6] .…”

Section: Trans-jejunum Biliary Drainage With Endoscopic Ultrasound (Ementioning

confidence: 99%

Successful treatment for infected biloma after endoscopic ultrasound-guided hepaticogastrostomy using double stent placement technique

Ogura¹,

Okuda²,

Miyano³

et al. 2018

MIS

View full text Add to dashboard Cite

How to cite this article: Ogura T, Okuda A, Miyano A, Nishioka N, Higuchi K. Successful treatment for infected biloma after endoscopic ultrasound-guided hepaticogastrostomy using double stent placement technique. Mini-invasive Surg 2018;2:8. AbstractThis case report describes a treatment of an elderly man who had undergone pancreaticoduodenectomy (Whipple Procedure) due to bile duct cancer. Herein, we describe technical tips of endoscopic ultrasound (EUS)-guided hepaticojejunostomy EUS-HJS combined with EUS-guided antegrade stenting (EUS-AS) using novel plastic stent. First, intrahepatic bile duct was punctured using 19G fine needle aspiration needle. Next, the 0.025-inch guidewire was inserted into the biliary tract. After the guidewire was advanced into the intestine, the bile duct and the intestine wall were dilated using by balloon catheter. The covered metal stent delivery system was antegradely inserted across the stricture site, and stent placement was performed from the intestine to the bile duct. Finally, stent placement from the intrahepatic bile duct to the intestine using novel plastic stent was successfully performed without any adverse events.

show abstract

Long-term outcomes of a newly developed hybrid metal stent for EUS-guided biliary drainage (with videos)

Cited by 102 publications

References 20 publications

Endoscopic Ultrasound-Guided Biliary Drainage Using Self-Expandable Metal Stent for Malignant Biliary Obstruction

Endoscopic Ultrasound-Guided Biliary Drainage Using Self-Expandable Metal Stent for Malignant Biliary Obstruction

Recent advances in endoscopic ultrasound‐guided biliary drainage

Successful treatment for infected biloma after endoscopic ultrasound-guided hepaticogastrostomy using double stent placement technique

Contact Info

Product

Resources

About