Prospective clinical study of endoscopic ultrasound-guided choledochoduodenostomy with direct metallic stent placement using a forward-viewing echoendoscope

K. Hara; K. Yamao; S. Hijioka; N. Mizuno; H. Imaoka; M. Tajika; S. Kondo; T. Tanaka; S. Haba; O. Takeshi; Y. Nagashio; T. Obayashi; A. Shinagawa; V. Bhatia; Y. Shimizu; H. Goto; Y. Niwa

doi:10.1055/s-0032-1326076

Endoscopy, Inhaltsverzeichnis

Endoscopy 2013; 45(05): 392-396
DOI: 10.1055/s-0032-1326076

Case report/series

Prospective clinical study of endoscopic ultrasound-guided choledochoduodenostomy with direct metallic stent placement using a forward-viewing echoendoscope

K. Hara

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

⁵Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan

,

K. Yamao

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

S. Hijioka

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

N. Mizuno

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

H. Imaoka

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

M. Tajika

²Department of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan

,

S. Kondo

²Department of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan

,

T. Tanaka

²Department of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan

,

S. Haba

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

O. Takeshi

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

Y. Nagashio

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

T. Obayashi

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

A. Shinagawa

¹Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan

,

V. Bhatia

³Department of Medical Hepatology, Institute of Liver and Biliary Sciences, Delhi, India

,

Y. Shimizu

⁴Department of Gastrointestinal Surgery, Aichi Cancer Center Hospital, Nagoya, Japan

,

H. Goto

⁵Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan

,

Y. Niwa

²Department of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan

› Institutsangaben

Abstract

A prospective clinical study was conducted to evaluate the safety, feasibility, and efficacy of endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDS) with direct metallic stent placement using a prototype forward-viewing echoendoscope. The indication for EUS – CDS in this study was lower biliary obstruction only, and not failed endoscopic biliary drainage, because the aim was to evaluate EUS – CDS for first-line biliary drainage therapy. The technical and functional success rates were 94 % (17 /18) and 94 % (16 /17), respectively. Early complications (focal peritonitis) were encountered in two patients (11 %). No patients developed late complications. EUS – CDS with direct metallic stent placement using a forward-viewing echoendoscope was generally feasible and effective for malignant distal biliary tract obstruction. The forward-viewing echoendoscope was useful, especially for deploying the metallic stent.

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Referenzen

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