Systematic review and meta-analysis of single-balloon enteroscopy–assisted ERCP in patients with surgically altered GI anatomy

Inamdar, Sumant; Slattery, Eoin; Sejpal, Divyesh V.; Miller, Larry S.; Pleskow, Douglas K.; Berzin, Tyler M.; Trindade, Arvind J.

doi:10.1016/j.gie.2015.02.013

Cited by 121 publications

(88 citation statements)

References 33 publications

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“…The success rate of ERCP in these situations is dependent on reaching the papilla, which may not be possible in up to 40% of patients 96. EUS-BD is a good alternative in such situations as the bile duct can be accessed from the proximal stomach.…”

Section: Resultsmentioning

confidence: 99%

Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel

Teoh

Dhir²,

Kida

et al. 2018

Gut

171

185

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Section: Resultsmentioning

confidence: 99%

Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel

Teoh

Dhir²,

Kida

et al. 2018

Gut

171

185

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“…In patients with Roux-en-Y choledocho-jejunostomy the altered anatomy of the upper gastrointestinal tract the endoscopic access to the biliary tree is usually unfeasible. Some authors reported successful ERC using scope designed for the exploration of small bowel (single or double-balloon enteroscopy) [21] ; however, in these patients, percutaneous approach with stricture dilation and stenting is usually performed [22,23] . Recent technical advances suggest that endoscopic ultrasound (EUS)-guided approach (i.e., trans-gastric intrahepatic access) with antegrade treatments could be useful in this difficult-to-treat population [24] .…”

Section: Biliary Stricturementioning

confidence: 99%

Role of endoscopy in the conservative management of biliary complications after deceased donor liver transplantation

Lisotti¹

2015

WJH

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The clinical outcome of patients receiving liver trans plantation could be significantly affected by biliary complications, including strictures, leaks, stones and bilomas; early diagnosis and treatment of these con ditions lead to markedly reduction in morbidity and mortality. Therapeutic gold standard is represented by conservative approaches, both endoscopic and percutaneous, based on the type of biliary reconstruction, the local availability of the procedures and specific expertise. In patients with previous transplantation, the difficult biliary access and the possible presence of concomitant complications (mainly strictures) further restrict the efficacy of the endoscopic and percutaneous treatments; on the other hand, surgery should generally be avoided because of the even increased morbidity and mortality due to technical and clinical issues. Here we review the most common biliary complications occurring after liver transplantation and discuss available treatment options including future perspectives such as endoscopic ultrasoundguided biliary access in patients with Roux enY choledochojejunostomy or extracorporeal shock wave lithotripsy for difficult stones. Author contributions: Lisotti A and Fusaroli P wrote the paper; Caletti G revised the final draft of the manuscript for important intellectual content.Conflictofinterest statement: All Authors declare no conflict of interest for this study and for the preparation of this manuscript.OpenAccess: This article is an openaccess article which was selected by an inhouse editor and fully peerreviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BYNC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is noncommercial. See: http://creativecommons.org/ licenses/bync/4.0/ Role of endoscopy in the conservative management of biliary complications after deceased donor liver transplantation scopic knowledge and expertise, the interventional management of these conditions is constantly evolving toward a conservative approach. In this manuscript are summarized current evidences regarding conservative approaches to biliary complication, with an overview on future management and research areas.Lisotti A, Fusaroli P, Caletti G. Role of endoscopy in the con servative management of biliary complications after deceased donor liver transplantation.

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“…Despite this, while it has been shown that PS are cheaper than metal stents, metal stents have better drainage and longer patency (11), and recent data shows that they are cost-effective (12,13). Also we can perform EBD for intact papilla in patients with an altered anatomy by using balloon-enteroscopyassisted ERCP (BEA-ERCP) (14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic treatment for distal malignant biliary obstruction

Matsumoto¹,

Takeda²,

Onoyama³

et al. 2017

Ann. Transl. Med.

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Distal malignant biliary obstruction (MBO) leads to obstructive jaundice as a result of when the bile excretion from the liver is disturbed and induces hepatic failure and sepsis, which when complicated with cholangitis, it becomes necessary to perform drainage for the MBO. For biliary drainage, we can perform a surgical bypass operation, percutaneous transhepatic biliary drainage (PTBD), endoscopic biliary drainage (EBD) via duodenal papilla, or endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD), which is a transgastrointestinal biliary drainage. Although currently we usually perform EBD for distal MBO to begin with, the choice is different for biliary drainage in patients in whom EBD has failed in a preoperative case or an unresectable case. In other words, we choose PTBD for preoperative cases, and PTBD or EUS-BD according to the ability of the institution for their procedures when EBD has failed. It is desirable not to choose a plastic stent (PS) but a self-expandable metallic stent (SEMS), in particular for the unresectable cases of pancreatic cancer it is desirable not to choose an uncovered SEMS but a covered SEMS in EBD. Nevertheless, further examinations are expected to decide which, a covered or uncovered SEMS, we should choose in unresectable biliary tract cancer (BTC) and whether we should select PS, SEMS or ENBD in preoperative cases.Keywords: Malignant biliary obstruction (MBO); endoscopic biliary drainage (EBD); EUS-guided biliary drainage (EUS-BD), plastic stent (PS); self-expandable metallic stent (SEMS)

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Systematic review and meta-analysis of single-balloon enteroscopy–assisted ERCP in patients with surgically altered GI anatomy

Cited by 121 publications

References 33 publications

Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel

Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel

Role of endoscopy in the conservative management of biliary complications after deceased donor liver transplantation

Endoscopic treatment for distal malignant biliary obstruction

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