scholarly journals Endoscopic ultrasonography-guided cholecystogastrostomy using a lumen-apposing metal stent as an alternative to extrahepatic bile duct drainage in pancreatic cancer with duodenal invasion

2013 ◽  
Vol 25 ◽  
pp. 137-141 ◽  
Author(s):  
Takao Itoi ◽  
Kenneth Binmoeller ◽  
Fumihide Itokawa ◽  
Junko Umeda ◽  
Reina Tanaka
Keyword(s):  
Pancreatic Cancer ◽  
Bile Duct ◽  
Endoscopic Ultrasonography ◽  
Extrahepatic Bile Duct ◽  
Metal Stent ◽  
Duodenal Invasion

scholarly journals Endoscopic ultrasonography-guided cholecystogastrostomy in a patient with pancreatic cancer: the first case in Colombia (with video)

2020 ◽  
Vol 35 (4) ◽  
pp. 527-532
Author(s):  
Renzo Pinto-Carta ◽  
Jaime Solano Mariño ◽  
Luis Felipe Cabrera Vargas ◽  
Erika Johana Benito Flórez
Keyword(s):  
Pancreatic Cancer ◽  
Bile Duct ◽  
Third World ◽  
Extrahepatic Bile Duct ◽  
Bile Leakage ◽  
Current Treatment ◽  
Curative Intent ◽  
Palliative Intent ◽  
First Case ◽  
Duodenal Invasion

The current treatment of malignant biliary obstruction is non-surgical biliary diversion with palliative intent, the surgery having specific indications in patients with malignant pathology with curative intent. However, duodenal obstruction and non-dilated intra- or extrahepatic bile duct make these surgical and endoscopic procedures guided by EUS difficult. We present our experience with the first case in Colombia a third-world country in Latin America of a cholecystogastrostomy guided by EUS in a patient with unresectable pancreatic cancer and duodenal invasion with dilated common bile duct using a luminal stent (LAMS) (HOT stent AXIOS; Xlumena Inc., Mountain View, CA, USA) 15mm x 10mm.EUS-guided cholecystogastrostomy should be considered as an option for biliary decompression of greater importance than percutaneous drainage since it is superior in terms of technical feasibility, safety and efficacy in specific cases of ampullary stenosis and duodenal invasion. In addition, it can be done in third world countries when it has the appropriate training and implements. The fully covered metal stent applied to light (HOT AXIOS stent, Xlumena Inc., Mountain View, CA, USA) is ideal for EUS guided cholecystogastrostomy to minimize complications such as bile leakage. Additional comparative studies are needed to validate the benefits of this technique.

Intraductal US for Selection of Self Expandable Metal Stent for Extrahepatic Bile Duct Carcinoma

2005 ◽  
Vol 61 (5) ◽  
pp. AB214
Author(s):  
Jong Ho Moon ◽  
Young Koog Cheon ◽  
Young Deok Cho ◽  
Young Seok Kim ◽  
Yun Soo Kim ◽  
...  
Keyword(s):  
Bile Duct ◽  
Extrahepatic Bile Duct ◽  
Bile Duct Carcinoma ◽  
Metal Stent ◽  
Duct Carcinoma ◽  
Extrahepatic Bile Duct Carcinoma ◽  
Selection Of ◽  
Self Expandable Metal Stent

scholarly journals An Improved Method of Percutaneous Transhepatic Biliary Drainage Combining Ultrasound-Guided Bile Duct Puncture with Metal Stent Implantation by Fluoroscopic Guidance and Endoscopic Visualization as a One-Step Procedure: A Retrospective Cohort Study

2018 ◽  
Vol 02 (03) ◽  
pp. 135-143 ◽  
Author(s):  
Daniel Schmitz ◽  
Niels Weller ◽  
Matthias Doll ◽  
Simon Weingärtner ◽  
Nuria Pelaez ◽  
...  
Keyword(s):  
Bile Duct ◽  
Stent Implantation ◽  
Biliary Drainage ◽  
Extrahepatic Bile Duct ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Primary Metal ◽  
Step Procedure ◽  
One Step ◽  
Extrahepatic Bile Duct Obstruction

Abstract Aims In recently published comparative studies, it is reported that percutaneous transhepatic biliary drainage (PTBD) is less successful, causes more adverse events, and needs more re-interventions than endoscopic ultrasound-guided biliary drainage (EUS-BD) in patients with malignant extrahepatic bile duct obstruction when endoscopic retrograde cholangiopancreatography (ERCP) fails. Could an improved technique of PTBD produce better results to use this technique for further comparative studies with EUSBD? Methods In our tertiary referral hospital, 116 prospectively documented, and retrospectively analyzed PTBDs with ultrasound guided ductal puncture were performed. In 16 of 30 PTBDs with metal stent implantation in malignant diseases, metal stent was inserted as a one-step procedure by endoscopic luminal guidance in the first session. Results Fifteen of 16 (94%) or 14/16 (88%) of PTBDs with primary metal stent implantation were technically or clinically successful. Mainly the left liver was used as access route for PTBD. Procedure time was 68.1 minutes (25–118), fluoroscopic time: 18.6 minutes (3–46), and patient radiation exposure: 5957 μGy/m2 (471–17,569). In 2/16 (12.5%) patients, adverse events (1 × mild and 1 × moderate grade of severity) were documented. One re-intervention was necessary (0.1/patient) in the observation time of 6 months. The mean overall survival time was 163.2 (7–864) days after PTBD. Conclusions PTBD with ultrasound-guided ductal puncture and primary metal implantation by endoscopic luminal guidance in patients with malignant extrahepatic bile duct obstruction showed good technical and clinical success and low adverse event and reintervention rates in our retrospective cohort study. Clinical Trial Registration: ClinicalTrials.gov ID: NCT03541590.

Straightening of a corrugated extrahepatic bile duct with a fully covered self-expandable metal stent

2014 ◽  
Vol 79 (1) ◽  
pp. 164-165
Author(s):  
Byung Uk Lee ◽  
Do Hyun Park ◽  
Jin Seo Lee ◽  
Seung Uk Jeong ◽  
Sang Soo Lee ◽  
...  
Keyword(s):  
Bile Duct ◽  
Extrahepatic Bile Duct ◽  
Metal Stent ◽  
Self Expandable Metal Stent
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