دورية أكاديمية
أعرض في EDS

Endoscopic ultrasound-guided biliary drainage in benign biliary pathology with normal foregut anatomy: a multicenter study.

التفاصيل البيبلوغرافية
العنوان: Endoscopic ultrasound-guided biliary drainage in benign biliary pathology with normal foregut anatomy: a multicenter study.
المؤلفون: Bill JG; Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA. Jason.g.bill@osfhealthcare.org.; University of Illinois College of Medicine - Peoria, 5105 North Glen Park Place, Peoria, IL, 61614, USA. Jason.g.bill@osfhealthcare.org., Ryou M; Brigham and Women's Hospital, Harvard Medical School, Boston, USA., Hathorn KE; Brigham and Women's Hospital, Harvard Medical School, Boston, USA., Cortes P; Brigham and Women's Hospital, Harvard Medical School, Boston, USA., Maple JT; Oklahoma University, Norman, USA., Al-Shahrani A; Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA., Lang G; Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA., Mullady DK; Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA., Das K; Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA., Cosgrove N; Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA., Salameh H; Icahn School of Medicine at Mt Sinai, New York, USA., Kumta NA; Icahn School of Medicine at Mt Sinai, New York, USA., DiMaio CJ; Icahn School of Medicine at Mt Sinai, New York, USA., Zia H; Oklahoma University, Norman, USA., Orr J; Vanderbilt University, Nashville, USA., Yachimski P; Vanderbilt University, Nashville, USA., Kushnir VM; Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA.
المصدر: Surgical endoscopy [Surg Endosc] 2022 Feb; Vol. 36 (2), pp. 1362-1368. Date of Electronic Publication: 2021 Mar 12.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE
أسماء مطبوعة: Publication: 1992- : New York : Springer
Original Publication: [Berlin] : Springer International, c1987-
مواضيع طبية MeSH: Cholangiopancreatography, Endoscopic Retrograde*/methods , Cholestasis*/diagnostic imaging , Cholestasis*/etiology , Cholestasis*/surgery, Drainage/methods ; Endosonography/methods ; Female ; Humans ; Male ; Retrospective Studies ; Ultrasonography, Interventional/adverse effects
مستخلص: Background and Aims: Biliary drainage using endoscopic ultrasound (EUS-BD) has been developed as a novel technique to obtain biliary access and drainage when ERCP fails. Numerous studies have demonstrated its safety and efficacy specifically pertaining to those with malignant distal biliary obstruction or altered foregut anatomy. The aim of this study is to evaluate the safety and efficacy of EUS-BD in benign indications in patients with normal foregut anatomy.
Methods: We performed a retrospective comparative study from 5 academic medical centers (2008-2018) involving patients with benign biliary obstruction and native foregut anatomy who had an initial failed ERCP with subsequent attempt at biliary decompression via EUS-BD or by repeating ERCP.
Results: 36 patients (mean age 61.6 ± 2.2, 38.9% female) who underwent attempted EUS-BD following initial failed ERCP were compared to 50 patients (mean age 62.7 ± 2.3, 73.5% female) who underwent repeat ERCP following an initial failed cannulation. EUS-BD was technically successful in 28 (77.8%) patients with rendezvous being the most common approach (86.1%). A higher level of pre-procedural bilirubin was found to be associated with technical success of EUS-BD (3.65 ± 0.63 versus 1.1 ± 0.4, p value 0.04). Success of repeat ERCP following failed cannulation was 86%. Adverse events were significantly more frequent in the EUS-BD cohort when compared to the repeat ERCP (10 (27.8%) versus 4 (8.0%), p = 0.02, OR 4.32.
Conclusions: EUS-BD remains a viable therapeutic option in the setting of benign biliary disease, with success rates of 77.8%. Adverse events were significantly more common with EUS-BD vs. repeat ERCP, emphasizing the need to perform in expert centers with appropriate multidisciplinary support and to strongly consider the urgency of biliary decompression before considering same session EUS-BD after failed initial biliary access.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Biliary obstruction; EUS guided biliary drainage; Failed ERCP
تواريخ الأحداث: Date Created: 20210313 Date Completed: 20220303 Latest Revision: 20220303
رمز التحديث: 20221213
DOI: 10.1007/s00464-021-08418-w
PMID: 33712939
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2218
DOI:10.1007/s00464-021-08418-w