Endoscopic ultrasound (EUS)-guided transhepatic anterograde self-expandable metal stent (SEMS) placement across malignant biliary obstruction

Endoscopy
T Nguyen-TangJ N Shah

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) with placement of self-expandable metal stents (SEMS) for palliation of malignant obstruction may not be possible in patients with an inaccessible biliary orifice. Endoscopic ultrasound (EUS)-guided drainage methods may be useful in this setting. This study aimed to determine the outcomes of EUS-guided anterograde SEMS placement across malignant strictures in patients with an inaccessible biliary orifice. Over a 2-year period, procedural and outcomes data on all patients undergoing EUS-guided anterograde SEMS drainage after failed ERCP were prospectively entered into a database and reviewed. Five patients underwent EUS-guided anterograde SEMS. Indications included: advanced pancreatic cancer (n = 3), metastatic cancer (n = 1), and anastomotic stricture (n = 1). The biliary orifice could not be reached endoscopically due to duodenal stricture (n = 4) or inaccessible hepaticojejunostomy (n = 1). EUS-guided punctures were performed transgastrically into left intrahepatic ducts (n = 4) or transbulbar into the common bile duct (n = 1). Guide wires were passed and SEMS were successfully deployed across strictures in an anterograde fashion in all patients. Jaundice resolved and ser...Continue Reading

Citations

Jul 31, 2013·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Takeshi HisaHiroki Ohkubo
Aug 14, 2012·Current Opinion in Gastroenterology·Mouen A Khashab, Shyam Varadarajulu
Oct 20, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Jun HoraguchiShoutarou Ishii
Jan 5, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takuji IwashitaHisataka Moriwaki
Jun 2, 2012·Gastroenterology Research and Practice·Siriboon AttasaranyaBancha Ovartlarnporn
Mar 1, 2012·World Journal of Gastroenterology : WJG·Disaya Chavalitdhamrong, Peter V Draganov
Aug 8, 2013·World Journal of Gastroenterology : WJG·Varayu Prachayakul, Pitulak Aswakul
Mar 30, 2013·World Journal of Gastroenterology : WJG·Michel KahalehMarc Giovannini
Jul 21, 2012·World Journal of Gastrointestinal Endoscopy·Ilaria TarantinoMario Traina
Mar 14, 2014·Current Treatment Options in Gastroenterology·Nikhil A KumtaMichel Kahaleh
Mar 13, 2014·Current Treatment Options in Gastroenterology·Lorenzo FuccioAlberto Larghi
Apr 26, 2014·Clinical Journal of Gastroenterology·Takuji IwashitaIchiro Yasuda
Apr 6, 2013·Gut and Liver·Savreet SarkariaMichel Kahaleh
Mar 29, 2013·Digestive Diseases and Sciences·Takuji IwashitaHisataka Moriwaki
Dec 14, 2011·Expert Review of Gastroenterology & Hepatology·Shounak MajumderJohn Birk
Nov 7, 2015·Gastrointestinal Endoscopy·Kaixuan WangZhaoshen Li
Dec 18, 2013·Current Problems in Cancer·Eun Ji Shin, Mouen Khashab
Jul 4, 2013·Gastrointestinal Endoscopy·Mouen A Khashab, John Dewitt
Jun 18, 2015·Journal of Gastroenterology and Hepatology·Takeshi OguraKazuhide Higuchi
Jul 28, 2012·Revista clínica española·S PlazaUNKNOWN en nombre del Grupo de Trabajo de Gestión Clínica de la SEMI
Jul 4, 2012·Gastrointestinal Endoscopy Clinics of North America·Manuel Perez-MirandaMichel Kahaleh
May 29, 2012·Gastrointestinal Endoscopy Clinics of North America·Takuji Iwashita, John G Lee
May 29, 2012·Gastrointestinal Endoscopy Clinics of North America·Kenji YamaoYasuhiro Shimizu
Jun 21, 2011·Gastrointestinal Endoscopy Clinics of North America·Jeffrey H Lee
Oct 22, 2013·Clinical Endoscopy·Prashant KediaMichel Kahaleh
Sep 19, 2015·Gastrointestinal Endoscopy·Mouen A KhashabEverson L A Artifon
Jan 29, 2013·Journal of Gastroenterology and Hepatology·Rungsun RerknimitrUNKNOWN Asia-Pacific Working Group on Hepatobiliary Cancers
Dec 31, 2010·Journal of Hepato-biliary-pancreatic Sciences·Kenneth F Binmoeller, Thai Nguyen-Tang
Oct 15, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroshi KawakamiNaoya Sakamoto
Oct 4, 2015·Gastrointestinal Endoscopy Clinics of North America·Frank Weilert, Kenneth F Binmoeller
Jan 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Isabelle ScheersPierre H Deprez
May 9, 2012·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Everson L A ArtifonPaulo Sakai
Nov 30, 2016·Clinical Endoscopy·Pichamol Jirapinyo, Linda S Lee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.