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CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(03): E377-E384
DOI: 10.1055/a-2261-2968
Original article

EUS-BD for calibration of benign stenosis of the bile duct in patients with altered anatomy or inaccessible papilla

Fabrice Caillol 
1   Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
,
Sébastien Godat
2   gastroentérologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland (Ringgold ID: RIN30635)
,
Alexey Solovyev 
3   Statistics Unit, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
,
Amina Harouchi
1   Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
,
Sarra Oumrani
4   Gastroenterology and Hepatology, CHUV, Lausanne, Switzerland (Ringgold ID: RIN30635)
,
Mariola Marx
1   Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
,
Solene Hoibian
1   Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
,
Yanis Dahel
1   Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
,
Jean-Philippe Ratone
5   Gastroenterology Unit, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
,
Marc Giovannini
6   UEMCO, Paoli-Calmettes Institute, Marseille, France (Ringgold ID: RIN56181)
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Abstract

Background and study aims In cases of inaccessible papilla, EUS-guided biliary drainage (EUS-BD) has been described as an alternative to calibrate benign biliary stenosis. However, few studies are available.

Patients and methods This tw-center, retrospective study was designed to evaluate technical success and clinical success at 1 year. All patients who underswent EUS-BD without the rendezvous technique used for calibration of benign biliary stenosis were included from 2016 to 2022. Patients underwent EUS-hepaticogastrostomy (EUS-HGS) during the first session. Then, HGS was used to access the bile duct, allowing calibration of the stenosis: Dilation of the biliary stenosis and placement of double pigtail stents through the stenosis for 1 year.

Results Thirty-six patients were included. Technical success was 89% (32/36), with four failures to cross the stenosis but EUS-HGS was performed in 100% of the cases. Nine patients were excluded during calibration because of oncological relapse in six and complex stenosis in three. Three patients had not yet reached 1 year of follow-up. Twenty patients had a calibration for at least 1 year. Clinical success after stent placement was considered in all cases after 1 year of follow-up. Thirteen patients underwent stent removal and no relapse occurred after 435 days of follow-up (SD=568). Global morbidity was 41.7% (15/36) with only one serious complication (needing intensive care), including seven cases of cholangitis due to intrabiliary duct obstruction and five stent migrations. No deaths were reported.

Conclusions EUS-BD for calibration in case of benign biliary stenosis is an option. Dedicated materials are needed to decrease morbidity.

Keywords

Pancreatobiliary (ERCP/PTCD) - Strictures - Biliary tract - Endoscopic ultrasonography - Intervention EUS


Publication History

Received: 14 October 2023

Accepted after revision: 01 February 2024

Accepted Manuscript online:
05 February 2024

Article published online:
07 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Dumonceau J.-M., Tringali A, Papanikolaou IS. et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline – Updated October 2017. Endoscopy 2018; 50: 910-930
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Giovannini M, Moutardier V, Pesenti C. et al. Endoscopic ultrasound-guided bilioduodenal anastomosis: A new technique for biliary drainage. Endoscopy 2001; 33: 898-900 DOI: 10.1055/s-2001-17324. (PMID: 11571690)
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Marx M, Caillol F, Autret A. et al. EUS-guided hepaticogastrostomy in patients with obstructive jaundice after failed or impossible endoscopic retrograde drainage: A multicenter, randomized phase II Study. Endosc Ultrasound 2022; 11: 495-502 DOI: 10.4103/EUS-D-21-00108. (PMID: 36537387)
    CrossrefPubMedGoogle Scholar
  • 4 Marx M, Caillol F, Sfumato P. et al. EUS-guided hepaticogastrostomy in the management of malignant biliary obstruction: Experience and learning curve in a tertiary referral center. Dig Liver Dis 2022; 54: 1236-1242 DOI: 10.1016/j.dld.2022.05.008. (PMID: 35680522)
    CrossrefPubMedGoogle Scholar
  • 5 Iwashita T, Uemera S, Tezuka R. et al. Current status of endoscopic-guided anterograde intervention for biliary diseases in patients with surgically altered anatomy. Dig Endosc 2023; 35: 264-274
    CrossrefPubMedGoogle Scholar
  • 6 Nakai Y, Kogure H, Isayama H. et al. Endoscopic ultrasound-guided biliary drainage for benign biliary disease. Clin Endosc 2019; 52: 212-219
    CrossrefPubMedGoogle Scholar
  • 7 Itoi T, Sofuni A, Tsuchiya T. et al. Endoscopic ultrasonography‑guided transhepatic antegrade stone removal in patients with surgically altered anatomy: Case series and technical review (with videos). J Hepatobiliary Pancreat Sci 2014; 21: E86-E93
    CrossrefPubMedGoogle Scholar
  • 8 Hosmer A, Abdelfatah MM, Law R. et al. Endoscopic ultrasound‑guided hepaticogastrostomy and antegrade clearance of biliary lithiasis in patients with surgically‑altered anatomy. Endosc Int Open 2018; 6: E127-E130
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Iwashita T, Nakai Y, Hara K. et al. Endoscopic ultrasound‑guided antegrade treatment of bile duct stone in patients with surgically altered anatomy: A multicenter retrospective cohort study. J Hepatobiliary Pancreat Sci 2016; 23: 227-233
    CrossrefPubMedGoogle Scholar
  • 10 Iwashita T, Uemura S, Shimuzu M. Endsocpic ultrasonography-guided antegrade treatment for bile duct stone with multi-step approach in a patient with surgically altered anatomy. Dig Endosc 2018; 30: 77-78
    CrossrefPubMedGoogle Scholar
  • 11 Ogura T, Kawai J, Nishiguchi K. et al. Transluminal intrahepaticbile duct stone removal using a novel spiral basket catheter via the endoscopic ultrasound-guided hepaticogastrostomy route (with video). Dig Endosc 2022; 34: 234-237
    CrossrefPubMedGoogle Scholar
  • 12 Mukai S, Itoi T, Sofuni A. et al. EUS‑guided antegrade intervention for benign biliary diseases in patients with surgically altered anatomy (with videos). Gastrointest Endosc 2019; 89: 399-407
    CrossrefPubMedGoogle Scholar
  • 13 Weilert F, Binmoeller KF, Marson F. et al. Endoscopic ultrasound-guided anterograde treatment of biliary stones following gastric bypass. Endoscopy 2011; 43: 1105-1108 DOI: 10.1055/s-0030-1256961. (PMID: 22057823)
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Nakai Y, Isayama H, Koike K. Two-step endoscopic ultrasonography-guided antegrade treatment of a difficult bile duct stone in a surgically altered anatomy patient. Dig Endosc 2018; 30: 125-127 DOI: 10.1111/den.12965. (PMID: 28902968)
    CrossrefPubMedGoogle Scholar
  • 15 Pizzicanella M, Caillol F, Pesenti C. et al. EUS‑guided biliary drainage for the management of benign biliary strictures in patients with altered anatomy: A single‑center experience. Endosc Ultrasound 2020; 9: 45-52
    CrossrefPubMedGoogle Scholar
  • 16 Miranda-García P, Gonzalez JM, Tellechea JI. et al. EUS hepaticogastrostomy for bilioenteric anastomotic strictures: A permanent access for repeated ambulatory dilations? Results from a pilot study. Endosc Int Open 2016; 4: E461-E465
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Ogura T, Takenaka M, Shiomi H. et al. Long‑term outcomes of EUS‑guided transluminal stent deployment for benign biliary disease: Multicenter clinical experience (with videos). Endosc Ultrasound 2019; 8: 398-403
    CrossrefPubMedGoogle Scholar
  • 18 Park DH, Jang JW, Lee SS. et al. EUS‑guided transhepatic antegrade balloon dilation for benign bilioenteric anastomotic strictures in a patient with hepaticojejunostomy. Gastrointest Endosc 2012; 75: 692-693
    CrossrefPubMedGoogle Scholar
  • 19 Dindo D, Demartines N, Clavien P-A. Classification of Surgical Complications: A New Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey. Ann Surg 2004; 240: 205-213
    CrossrefPubMedGoogle Scholar
  • 20 Kühn JP, Busemann A, Lerch MM. et al. Percutaneous biliary drainage in patients with non dilated intrahepatic bile ducts compared with patients with dilated Intrahepatic bile ducts. Am. J. Roentgenol 2010; 195: 851-857
    CrossrefPubMedGoogle Scholar
  • 21 Kucukay F, Okten RS, Yurdakul M. et al. long-term results of percutaneous biliary balloon dilation treatment for benign hepaticojejunostomy strictures: Are repeated balloon dilations necessary?. J Vasc Interv Radiol 2012; 23: 1347-1355 DOI: 10.1016/j.jvir.2012.07.004. (PMID: 22999755)
    CrossrefPubMedGoogle Scholar
  • 22 Luu C, Lee B, Stabile BE. Choledochoduodenostomy as the biliary–enteric bypass of choice for benign and malignant distal common bile duct strictures. Am Surg 2013; 79: 1054-1057 (PMID: 24160798)
    CrossrefPubMedGoogle Scholar
  • 23 Khajanchee YS, Cassera MA, Hammill CW. et al. Outcomes following laparoscopic choledochoduodenostomy in the management of benign biliary obstruction. J.Gastrointest. Surg 2012; 16: 801-805
    PubMedGoogle Scholar
  • 24 Monkemüllern K, Fry LC, Bellutti M. et al. ERCP with the double-balloon enteroscope in patients with Roux-en-Y anastomosis. Surg Endosc 2009; 23: 1961-1967
    CrossrefPubMedGoogle Scholar
  • 25 ItokawaFItoi T, Ishii K. et al. Single- and double-balloon enteroscopyassisted endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y plus hepaticojejunostomy anastomosis and Whipple resection: Enteroscopy in hepaticojejunostomy. Dig. Endosc 2014; 26: 136-143
    CrossrefPubMedGoogle Scholar
  • 26 Ogura T, Masuda D, Takeuchi T. et al. Liver impaction technique to prevent shearing of the guidewire during endoscopic ultrasound-guided hepaticogastrostomy. Endoscopy 2015; 47: E583-E584
    Article in Thieme ConnectPubMedGoogle Scholar
  • 27 Ogura T, Higuchi K. Technical tips for endoscopic ultrasound-guided hepaticogastrostomy. World J Gastroenterol 2016; 22: 3945-395 DOI: 10.5009/gnl20096. (PMID: 32694240)
    CrossrefPubMedGoogle Scholar
  • 28 Mukai S, Itoi T, Sofuni A. et al. Urgent and early EUS-guided biliary drainage in patients with acute cholangitis. Endosc Ultrasound 2021; 10: 191-199
    CrossrefPubMedGoogle Scholar
  • 29 Kawakubo K, Isayama H, Kato H. et al. Multicenter retrospective study of endoscopic ultrasound-guided biliary drainage for malignant biliary obstruction in Japan. J Hepatobiliary Pancreat Sci 2014; 21: 328-334 DOI: 10.1002/jhbp.27. (PMID: 24026963)
    CrossrefPubMedGoogle Scholar
  • 30 Matsunami Y, Itoi T, Soufi A. et al. EUS-guided hepaticoenterostomy with using a dedicated plastic stent for the benign pancreatobiliary disease: A single-center study of a large case series. Endosc Ultrasound 2021; 10: 294-304
    CrossrefPubMedGoogle Scholar
  • 31 Wallace MB, Bowman D, Hamilton-Gibbs H. et al. Ethics in publication, part 2: duplicate publishing, salami slicing, and large retrospective multi center case series. Gastrointest Endosc 2018; 87: 1335-1337
    CrossrefPubMedGoogle Scholar