Abstract:
BACKGROUND AND AIMS:Although fully covered self-expandable metal stents (FCSEMSs) have been commonly used for EUS-guided biliary drainage (EUS-BD), FCSEMS migration is a main limitation of this procedure. In the present study we evaluated the technical and clinical success rates, adverse events, and long-term outcomes of a newly developed hybrid stent that has been customized for EUS-BD. METHODS:From September 2011 to May 2015, 54 consecutive patients with biliary obstruction were enrolled in this prospective, observational study. These patients were candidates for alternative BD techniques because of failed ERCP. The hybrid metal stent used for EUS-BD in this study was partially covered, had anchoring flaps, and is commercially available in Korea. RESULTS:EUS-guided hepaticogastrostomy (EUS-HGS) was performed in 21 patients and EUS-guided choledochoduodenostomy (EUS-CDS) in 33 patients. The technical and clinical success rates of EUS-BD were 100% (54/54) and 94.4% (51/54), respectively. Immediate adverse events developed after EUS-BD in 9 patients (16.6%; cholangitis in 3, bleeding in 2, self-limited pneumoperitoneum in 3, and abdominal pain in 1). Proximal or distal stent migration was not observed during the follow-up period (median, 148.5 days; IQR, 79.7-244), and the mean stent patency duration was 166.3 days and 329.1 days in the EUS-HGS and EUS-CDS groups, respectively. CONCLUSIONS:EUS-BD with the hybrid metal stent is technically feasible and can effectively treat biliary obstruction after failed ERCP. EUS-BD with the hybrid metal stent can reduce stent-related adverse events, especially stent migration.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Cho DH,Lee SS,Oh D,Song TJ,Park DH,Seo DW,Lee SK,Kim MHdoi
10.1016/j.gie.2016.09.010subject
Has Abstractpub_date
2017-05-01 00:00:00pages
1067-1075issue
5eissn
0016-5107issn
1097-6779pii
S0016-5107(16)30579-Xjournal_volume
85pub_type
杂志文章abstract:BACKGROUND:Optimal management of asymptomatic pancreatic cystic neoplasm is not known. OBJECTIVE:In a decision analysis, the cost-effectiveness of different strategies for managing solitary, asymptomatic pancreatic cystic neoplasm were compared. INTERVENTION:Three strategies were examined in a Markov model with a thi...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2009.02.013
更新日期:2009-10-01 00:00:00
abstract::We evaluated a computerized report-generating system using voice recognition technology (EndoSpeak) for producing therapeutic ERCP reports. For 30 consecutive ERCP cases, reports using both EndoSpeak and standard dictation were generated at the end of the procedure. The cases were scored for overall difficulty and the...
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doi:10.1067/mge.2002.123274
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abstract:BACKGROUND:Despite regular colonoscopy, interval colorectal cancer (CRC) may occur. Long-term studies examining CRC rates in patients with previous colonoscopy are lacking. OBJECTIVE:We examined the rate of interval CRC in the Polyp Prevention Trial Continued Follow-up Study (PPT-CFS), an observational study of PPT pa...
journal_title:Gastrointestinal endoscopy
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更新日期:2010-01-01 00:00:00
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更新日期:2000-05-01 00:00:00
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更新日期:2019-03-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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doi:10.1067/mge.2002.125250
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章,meta分析
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journal_title:Gastrointestinal endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1998-08-01 00:00:00
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doi:10.1016/j.gie.2018.01.017
更新日期:2018-06-01 00:00:00
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更新日期:2014-08-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1067/mge.2000.106683
更新日期:2000-07-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2009-12-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2013-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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