scholarly journals Risk factors for dysfunction of preoperative endoscopic biliary drainage for malignant hilar biliary obstruction

2020 ◽  
Vol 27 (11) ◽  
pp. 851-859
Author(s):  
Ryo Sugiura ◽  
Masaki Kuwatani ◽  
Shin Kato ◽  
Kazumichi Kawakubo ◽  
Hirofumi Kamachi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Endoscopic Biliary Drainage ◽  
Hilar Biliary Obstruction ◽  
Malignant Hilar Biliary Obstruction

scholarly journals Technical tips and troubleshooting of endoscopic biliary drainage for unresectable malignant hilar biliary obstruction

2014 ◽  
Vol 22 (4) ◽  
pp. E12-E21 ◽  
Author(s):  
Hiroshi Kawakami ◽  
Takao Itoi ◽  
Masaki Kuwatani ◽  
Kazumichi Kawakubo ◽  
Yoshimasa Kubota ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Endoscopic Biliary Drainage ◽  
Hilar Biliary Obstruction ◽  
Malignant Hilar Biliary Obstruction

scholarly journals Endoscopic biliary drainage for malignant hilar biliary obstruction

2015 ◽  
Vol 86 (1) ◽  
pp. 104-107
Author(s):  
Hirotoshi Iwano ◽  
Shomei Ryozawa ◽  
Kumiko Taba ◽  
Yuki Tanisaka ◽  
Hiroko Sato ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Endoscopic Biliary Drainage ◽  
Hilar Biliary Obstruction ◽  
Malignant Hilar Biliary Obstruction

scholarly journals ERCP plus endoscopic ultrasound-guided biliary drainage versus percutaneous transhepatic biliary drainage for malignant hilar biliary obstruction: a multicenter observational open-label study

Endoscopy ◽  
2020 ◽  
Vol 53 (01) ◽  
pp. 55-62 ◽  
Author(s):  
Pradermchai Kongkam ◽  
Theerapat Orprayoon ◽  
Chaloemphon Boonmee ◽  
Passakorn Sodarat ◽  
Orathai Seabmuangsai ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Ultrasound Guided ◽  
Group A ◽  
Hilar Biliary Obstruction ◽  
Malignant Hilar Biliary Obstruction ◽  
Group B ◽  
Transhepatic Biliary Drainage

Abstract Background Endoscopic retrograde cholangiopancreatography (ERCP) may not provide complete biliary drainage in patients with Bismuth III/IV malignant hilar biliary obstruction (MHBO). Complete biliary drainage is accomplished by adding percutaneous transhepatic biliary drainage (PTBD). We prospectively compared recurrent biliary obstruction (RBO) rates between combined ERCP and endoscopic ultrasound-guided biliary drainage (EUS-BD) vs. bilateral PTBD. Methods Patients with MHBO undergoing endoscopic procedures (group A) were compared with those undergoing bilateral PTBD (group B). The primary outcome was the 3-month RBO rate. Results 36 patients were recruited into groups A (n = 19) and B (n = 17). Rates of technical and clinical success, and complications of group A vs. B were 84.2 % (16/19) vs. 100 % (17/17; P = 0.23), 78.9 % (15/19) vs. 76.5 % (13/17; P > 0.99), and 26.3 % (5/19) vs. 35.3 % (6/17; P = 0.56), respectively. Within 3 and 6 months, RBO rates of group A vs. group B were 26.7 % (4/15) vs. 88.2 % (15/17; P  = 0.001) and 22.2 % (2/9) vs. 100 % (9/9; P = 0.002), respectively. At 3 months, median number of biliary reinterventions in group A was significantly lower than in group B (0 [interquartile range] 0–1 vs. 1 [1–2.5]), respectively (P < 0.001). Median time to development of RBO was longer in group A than in group B (92 [56–217] vs. 40 [13.5–57.8] days, respectively; P  =  0.06). Conclusions Combined ERCP and EUS procedures provided significantly lower RBO rates at 3 and 6 months vs. bilateral PTBD, with similar complication rates and no significant mortality difference.

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