Endoscopic ultrasound‐guided hepaticogastrostomy as a salvage procedure for management of distal bile duct stricture, migrated self‐expandable metal stent, and hepatolithiasis in a patient with surgically altered gastrointestinal anatomy

2020 ◽  
Vol 33 (1) ◽  
pp. 204-204
Author(s):  
Robert Dorrell ◽  
Eric Barash ◽  
Rishi Pawa
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Salvage Procedure ◽  
Bile Duct Stricture ◽  
Distal Bile Duct ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Duct Stricture ◽  
Self Expandable Metal Stent

The accuracy of the pre-ERCP diagnosis in patients with suspected bile duct stones or distal bile duct stricture

1996 ◽  
Vol 43 (4) ◽  
pp. 401
Author(s):  
S.J. van den Hazel ◽  
X.H. de Vries ◽  
P. Speelman ◽  
K. Huibregtse ◽  
G.N.J. Tytgat ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stricture ◽  
Bile Duct Stones ◽  
Distal Bile Duct ◽  
Duct Stricture

Endoscopic ultrasound-guided gallbladder drainage as a rescue therapy for unresectable malignant biliary obstruction: a multicenter experience

Endoscopy ◽  
2020 ◽  
Author(s):  
Danny Issa ◽  
Shayan Irani ◽  
Ryan Law ◽  
Shawn Shah ◽  
Sean Bhalla ◽  
...  
Keyword(s):  
Bile Duct ◽  
Success Rate ◽  
Clinical Success ◽  
Rescue Therapy ◽  
Bile Duct Obstruction ◽  
Distal Bile Duct ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Duct Obstruction ◽  
Gallbladder Drainage

Abstract Background Endoscopic retrograde cholangiopancreatography (ERCP) is often unsuccessful in patients with duodenal stenosis or malignant ampullary infiltration. While endoscopic ultrasound-guided biliary drainage (EUS-BD) has been proposed as an alternative, EUS-guided gallbladder drainage (EUS-GBD) is an attractive option when both approaches fail. We aimed to assess the effectiveness and safety of EUS-GBD as rescue therapy for malignant distal bile duct obstruction. Methods A multicenter retrospective study was performed on patients with unresectable malignant distal bile duct obstruction who underwent EUS-GBD between 2014 and 2019 after unsuccessful ERCP and EUS-BD. Clinical success was defined as a decrease in serum bilirubin of > 50 % within 2 weeks. Results 28 patients were included, with a lumen-apposing metal stent used in 26 (93 %) and a self-expandable metal stent in two (7 %). The technical success rate was 100 %. The clinical success rate was 93 %, with an improvement in bilirubin (7.3 [SD 5.4] pre-procedure vs. 2.8 [SD 1.1] post-procedure; P = 0.001). Delayed adverse events included food impaction of the stent (n = 3), with a further two patients developing cholecystitis and bleeding. Conclusion This study demonstrates the feasibility of gallbladder drainage to relieve malignant distal bile duct obstruction in patients with failed ERCP and EUS-BD.

scholarly journals Su1286 ENDOSCOPIC ULTRASOUND-GUIDED GASTROJEJUNOSTOMY IS SUPERIOR TO DUODENAL SELF EXPANDABLE METAL STENT FOR PALLITAIVE TREATMENT OF MALIGNANT GASTRIC OUTLET OBSTRUCTTION: A COMPARATIVE CASE CONTROL STUDY

2020 ◽  
Vol 91 (6) ◽  
pp. AB312-AB313
Author(s):  
Enrique Vazquez-Sequeiros ◽  
Ruben Sanchez-Aldehuelo ◽  
Enrique R. de Santiago ◽  
Sandra Peralta-Herce ◽  
Jose Carlos Subtil ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Case Control Study ◽  
Case Control ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Control Study ◽  
Self Expandable Metal Stent

scholarly journals Transrectal endoscopic ultrasound-guided drainage of pelvic abscess with placement of a fully covered self-expandable metal stent

Endoscopy ◽  
2013 ◽  
Vol 45 (S 02) ◽  
pp. E245-E246 ◽  
Author(s):  
C. Luigiano ◽  
T. Togliani ◽  
V. Cennamo ◽  
A. Maimone ◽  
A. Polifemo ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Pelvic Abscess ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Self Expandable Metal Stent
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