Sp845 EUS-Guided Anterograde Transhepatic Placement of a Self-Expandable Metal Stent (SEMS) in Benign Distal Biliary Obstruction

Artifon, Everson L.A.; Safatle‐Ribeiro, Adriana Vaz; Ferreira, Francirosy Campos Barbosa; Silveira, Edilene Aparecida Araújo da; Okawa, Luciano; Takada, Jonas; Moura, Eduardo Guimarães Hourneaux de; Sakai, Paulo; Kahaleh, Michel

doi:10.1016/j.gie.2011.03.1186

Cited by 18 publications

(21 citation statements)

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“…EUS‐guided biliary drainage may be a good alternative for draining HCCA if initial ERCP attempt fails or percutaneous approach is contraindicated. EUS‐guided biliary drainage can be achieved by various methods; EUS‐guided hepaticogastrostomy, EUS‐guided rendezvous procedure with the conventional ERCP access and EUS‐guided stent placement across stricture segment . Transgastrohepatic route is commonly used.…”

Section: Consensus Statementsmentioning

confidence: 99%

Asia–Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma

Rerknimitr

Angsuwatcharakon

Ratanachu‐ek³

et al. 2013

J of Gastro and Hepatol

215

171

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Hilar cholangiocarcinoma (HCCA) is one of the most common types of hepatobiliary cancers reported in the world including Asia-Pacific region. Early HCCA may be completely asymptomatic. When significant hilar obstruction develops, the patient presents with jaundice, pale stools, dark urine, pruritus, abdominal pain, and sometimes fever. Because no single test can establish the definite diagnosis then, a combination of many investigations such as tumor markers, tissue acquisition, computed tomography scan, magnetic resonance imaging/magnetic resonance cholangiopancreatography, endoscopic ultrasonography/intraductal ultrasonography, and advanced cholangioscopy is required. Surgery is the only curative treatment. Unfortunately, the majority of HCCA has a poor prognosis due to their advanced stage on presentation. Although there is no survival advantage, inoperable HCCA managed by palliative drainage may benefit from symptomatic improvement. Currently, there are three techniques of biliary drainage which include endoscopic, percutaneous, and surgical approaches. For nonsurgical approaches, stent is the most preferred device and there are two types of stents i.e. plastic and metal. Type of Declarations of conflict of interest: All authors have nothing to disclose.Author contributions: RR was involved with the consensus concept and design, acquisition of data, drafting of the manuscript, critical revision of the manuscript, obtain funding, and participation in electronic and face-to-face voting. PA and TR were involved with the consensus concept and design, acquisition of data, drafting of the manuscript, critical revision of the manuscript, and participation in electronic and face-to-face voting. CK, RP, JM, DS, LP, AS, PP, TA, DR, AM, SP, PK, MR, and MK were involved with drafting of the manuscript, critical revision of the manuscript, and participation in electronic and face-to-face voting. TI was involved with drafting of the manuscript, critical revision of the manuscript, and participation in electronic voting. NP, ST, SA, BD, HW, EO, DL, and PM were involved with critical revision of the manuscript, and participation in electronic and face-to-face voting. KG and BO were involved with critical revision of the manuscript and participation in electronic voting. SC and AJ were involved with study supervision and participation in electronic voting. VB was involved with study supervision. and number of stent for HCCA biliary drainage are subjected to debate because the decision is made under many grounds i.e. volume of liver drainage, life expectancy, expertise of the facility, etc. Recently, radio-frequency ablation and photodynamic therapy are promising techniques that may extend drainage patency. Through a review in the literature and regional data, the Asia-Pacific Working Group for hepatobiliary cancers has developed statements to assist clinicians in diagnosing and managing of HCCA. After voting anonymously using modified Delphi method, all final statements were determined for the level of evidence qual...

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Section: Consensus Statementsmentioning

confidence: 99%

Asia–Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma

Rerknimitr

Angsuwatcharakon

Ratanachu‐ek³

et al. 2013

J of Gastro and Hepatol

215

171

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“…[54][55][56][57][58] However, 2 papers 54,58 for EUS-AGS were case reports, and 2 case series enrolled less than 5 patients.…”

Section: Actual Technique For Eus-agsmentioning

confidence: 99%

Endoscopic ultrasonography-guided biliary drainage: an alternative to percutaneous transhepatic puncture

Ikeuchi

Itoi

2015

Gastrointestinal Intervention

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“…Recently, EUS‐guided antegrade stenting (EUS‐AS) has been developed as an advanced technique . However, if stent dysfunction such as cholangitis without enough biliary dilatation to puncture the intrahepatic bile duct occurs in patients who undergo EUS‐AS only, re‐intervention is challenging.…”

Section: Introductionmentioning

confidence: 99%

“…Recently, EUS-guided antegrade stenting (EUS-AS) has been developed as an advanced technique. [7][8][9][10][11] However, if stent dysfunction such as cholangitis without enough biliary dilatation to puncture the intrahepatic bile duct occurs in patients who undergo EUS-AS only, re-intervention is challenging. In contrast, re-intervention can be relatively easily carried out for patients who undergo transluminal EUS-BD through the stent.…”

Section: Introductionmentioning

confidence: 99%

Multicenter prospective evaluation study of endoscopic ultrasound‐guided hepaticogastrostomy combined with antegrade stenting (with video)

Ogura

Kitano

Takenaka³

et al. 2017

Digestive Endoscopy

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Sp845 EUS-Guided Anterograde Transhepatic Placement of a Self-Expandable Metal Stent (SEMS) in Benign Distal Biliary Obstruction

Cited by 18 publications

References 0 publications

Asia–Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma

Asia–Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma

Endoscopic ultrasonography-guided biliary drainage: an alternative to percutaneous transhepatic puncture

Multicenter prospective evaluation study of endoscopic ultrasound‐guided hepaticogastrostomy combined with antegrade stenting (with video)

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