The safety and efficacy of self-expandable metallic stent placement for malignant biliary obstruction with surgically altered anatomy

Takeda, Tsuyoshi; Sasaki, Takashi; Mie, Takafumi; Furukawa, Takaaki; Kanata, Ryo; Kasuga, Akiyoshi; Ozaka, Masato; Sasahira, Naoki

doi:10.1080/00365521.2020.1847317

Cited by 5 publications

(2 citation statements)

References 30 publications

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“…The clinical success and recurrent biliary obstruction rates in patients with SAA were similar to those in normal anatomy using SEMS. 37,38 In recurrent biliary obstruction, the papilla or hepaticojejunal anastomosis is located in the deep afferent limb, thus, it is assumed that food impaction rarely occurs in patients with SAA compared to normal anatomy. 37 However, afferent limb obstruction may cause recurrent biliary obstruction while the stent is still patent.…”

Section: A a B B C C D Dmentioning

confidence: 99%

Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a technical review

et al. 2023

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Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy is technically challenging. For example, scope insertion, selective cannulation, and intended procedures, such as stone extraction or stent placement, can be difficult. Single-balloon enteroscopy (SBE)-assisted ERCP has been used to effectively and safely address these technical issues in clinical practice. However, the small working channel limits its therapeutic potential. To address this shortcoming, a short-type SBE (short SBE) with a working length of 152 cm and a channel of 3.2 mm diameter has recently been introduced. Short SBE facilitates the use of larger accessories to complete certain procedures, such as stone extraction or self-expandable metallic stent placement. Despite the development in the SBE endoscope, various steps have to be overcome to successfully perform such procedure. To improve success, the challenging factors of each procedure must be identified. At the same time, endoscopists need to be mindful of adverse events, such as perforation, which can arise due to adhesions specific to the surgically altered anatomy. This review discussed technical tips regarding SBE-assisted ERCP in patients with surgically altered anatomy to increase success and reduce the risk of adverse events associated with ERCP.

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Section: A a B B C C D Dmentioning

confidence: 99%

Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a technical review

et al. 2023

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“…Biliary drainage of hilar biliary obstruction (HBO) after surgical biliary reconstruction, including pancreatoduodenectomy, is challenging because recurrent tumors hamper access to the hepaticojejunostomy anastomosis (HJA) 1 . Although endoscopic ultrasound (EUS)-guided hepaticogastrostomy is an alternative, biliary drainage of both hepatic lobes is still difficult 2 3 4 .…”

Section: Figmentioning

confidence: 99%

Combined ERCP and endoscopic ultrasound-guided antegrade stenting for hilar biliary obstruction in a patient after pancreatoduodenectomy

et al. 2022

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Tumor microenvironment-responsive arsenic-loaded layered double hydroxides film with synergistic anticancer and bactericidal activity

Xing,

Wang,

Zhang

et al. 2023

Rare Met.

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The safety and efficacy of self-expandable metallic stent placement for malignant biliary obstruction with surgically altered anatomy

Cited by 5 publications

References 30 publications

Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a technical review

Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a technical review

Combined ERCP and endoscopic ultrasound-guided antegrade stenting for hilar biliary obstruction in a patient after pancreatoduodenectomy

Tumor microenvironment-responsive arsenic-loaded layered double hydroxides film with synergistic anticancer and bactericidal activity

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