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.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Hara K,Yamao K,Hijioka S,Mizuno N,Imaoka H,Tajika M,Kondo S,Tanaka T,Haba S,Takeshi O,Nagashio Y,Obayashi T,Shinagawa A,Bhatia V,Shimizu Y,Goto H,Niwa Ydoi
10.1055/s-0032-1326076subject
Has Abstractpub_date
2013-01-01 00:00:00pages
392-6issue
5eissn
0013-726Xissn
1438-8812journal_volume
45pub_type
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