Endoscopic management of pancreatic diseases in patients with surgically altered anatomy: clinical outcomes of combination of double‐balloon endoscopy‐ and endoscopic ultrasound‐guided interventions

2020 ◽  
Author(s):  
Hirofumi Kogure ◽  
Tatsuya Sato ◽  
Yousuke Nakai ◽  
Kazunaga Ishigaki ◽  
Ryunosuke Hakuta ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Endoscopic Ultrasound ◽  
Endoscopic Management ◽  
Ultrasound Guided ◽  
Pancreatic Diseases ◽  
Double Balloon Endoscopy ◽  
Double Balloon ◽  
Surgically Altered Anatomy

Modified endoscopic ultrasound-guided double-balloon-occluded gastroenterostomy bypass (M-EPASS): a pilot study

Endoscopy ◽  
2021 ◽  
Author(s):  
Amanda Marino ◽  
Ali Bessissow ◽  
Corey Miller ◽  
David Valenti ◽  
Louis Boucher ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Endoscopic Ultrasound ◽  
Clinical Success ◽  
Outlet Obstruction ◽  
Stent Migration ◽  
Stent Insertion ◽  
Ultrasound Guided ◽  
Double Balloon ◽  
Low Residue Diet ◽  
The Mean

Abstract Introduction We recently developed a double-balloon device, using widely available existing technology, to facilitate endoscopic ultrasound-guided gastroenterostomy (EUS-GE). Our aim is to assess the feasibility of this modified approach to EUS-guided double-balloon-occluded gastroenterostomy bypass (M-EPASS). Methods This was a single-center retrospective study of consecutive patients undergoing M-EPASS from January 2019 to August 2020. The double-balloon device consists of two vascular balloons that optimize the distension of a targeted small-bowel segment for EUS-guided stent insertion. The primary end point was the rate of technical success. Results 11 patients (45 % women; mean [standard deviation (SD)] age 64.9 [8.6]) with malignant gastric outlet obstruction were included. Technical and clinical success (ability to tolerate an oral diet) were achieved in 91 % (10/11) and 80 % (8/10) of patients, respectively. There was one adverse event (9 %) due to stent migration. Two patients (18 %) required re-intervention for stent obstruction secondary to food impaction. The mean (SD) time to a low residue diet was 3.5 (2.4) days. Conclusion M-EPASS appears to facilitate the technique of EUS-GE, potentially enhancing its safety and clinical adoption. Larger studies are needed to validate this innovative approach to gastric outlet obstruction.

scholarly journals Effect of Pancreatic Mass Size on Clinical Outcomes of Endoscopic Ultrasound-Guided Fine-Needle Aspiration

2019 ◽  
Vol 64 (7) ◽  
pp. 2006-2013 ◽  
Author(s):  
Ryo Sugiura ◽  
Masaki Kuwatani ◽  
Koji Hirata ◽  
Itsuki Sano ◽  
Shin Kato ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Pancreatic Mass ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Mass Size

scholarly journals Double-balloon endoscopic ultrasound-guided gastroenterostomy: simplifying a complex technique towards widespread use

Endoscopy ◽  
2019 ◽  
Vol 52 (02) ◽  
pp. 151-152 ◽  
Author(s):  
Corey S. Miller ◽  
Yen-I Chen ◽  
Yamile Haito Chavez ◽  
Adel Alghamdi ◽  
George Zogopoulos ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Double Balloon
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