دورية أكاديمية
أعرض في EDS

Novel drill dilator facilitates endoscopic ultrasound-guided hepaticogastrostomy.

التفاصيل البيبلوغرافية
العنوان: Novel drill dilator facilitates endoscopic ultrasound-guided hepaticogastrostomy.
المؤلفون: Okuno N; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Hara K; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Haba S; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Kuwahara T; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Kuraishi Y; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Yanaidani T; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Ishikawa S; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Yasuda T; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Yamada M; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan., Fukui T; Department of Gastroenterology, Aichi Cancer Center Hospital, Aichi, Japan.
المصدر: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society [Dig Endosc] 2023 Mar; Vol. 35 (3), pp. 389-393. Date of Electronic Publication: 2022 Oct 31.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Australia, Ltd Country of Publication: Australia NLM ID: 9101419 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1443-1661 (Electronic) Linking ISSN: 09155635 NLM ISO Abbreviation: Dig Endosc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2019- : Richmond, Vic., Australia : John Wiley & Sons Australia, Ltd.
Original Publication: Tokyo, Japan : The Society, c1989-
مواضيع طبية MeSH: Biliary Tract Surgical Procedures*/methods , Cholestasis*/surgery, Humans ; Retrospective Studies ; Drainage/methods ; Liver ; Endosonography/methods ; Ultrasonography, Interventional ; Stents
مستخلص: Tract dilation is one of the most difficult stages of endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS), especially for beginners. To overcome this problem, we applied a special dedicated dilator. Herein, we retrospectively evaluate the safety and usefulness of a novel drill dilator in EUS-HGS. This single-center retrospective study included 20 consecutive patients who underwent EUS-HGS with a novel drill dilator. The tip is 0.77 mm, and it becomes 7F at 3 cm from tip. The track is dilated to 7F by simple clockwise rotation. The technical success rate of both initial tract dilation and stent placement was 20/20 (100%). No cases required additional dilation such as balloon or electric cautery. In 13/20 cases (65.0%), EUS-HGS was performed by beginner endoscopists. Median time required for dilation was 62.5 s (range, 30-144 s). Median procedure time was 13 min (range, 7-25 min). Early adverse events were two cases of mild fever. There was no bile leakage or bleeding. The novel drill dilator appears to be safe and useful for EUS-HGS. As it is not necessary to press the device strongly, there is no pushback during dilation and the scope position is stable. These characteristics facilitate EUS-HGS even for beginners. This device may enable the further development and increased dissemination of EUS intervention.
(© 2022 Japan Gastroenterological Endoscopy Society.)
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فهرسة مساهمة: Keywords: EUS-guided biliary drainage; EUS-guided hepaticogastrostomy; biliary stricture; endoscopic ultrasonography; interventional EUS
تواريخ الأحداث: Date Created: 20220928 Date Completed: 20230310 Latest Revision: 20230310
رمز التحديث: 20231215
DOI: 10.1111/den.14447
PMID: 36170547
قاعدة البيانات: MEDLINE
الوصف
تدمد:1443-1661
DOI:10.1111/den.14447