Endoscopic Ultrasound-Guided Hepaticogastrostomy: Technical Review and Tips to Prevent Adverse Events.

Gut and Liver
Takeshi Ogura, Kazuhide Higuchi

Abstract

Most patients who require biliary drainage can be treated by endoscopic retrograde cholangiopancreatography (ERCP)-guided procedures. However, ERCP can be challenging in patients with complications, such as malignant duodenal obstruction, or a surgically-altered anatomy, such as a Roux-en-Y anastomosis, which prevent advancement of the duodenoscope into the ampulla of Vater. Recently, endoscopic ultrasound (EUS)-guided biliary drainage via transhepatic or transduodenal approaches has emerged as an alternative means of biliary drainage. Typically, EUS-guided gallbladder drainage or choledochoduodenostomy can be performed via both approaches, as can EUS-guided hepaticogastrostomy (HGS). EUS-HGS, because of its transgastric approach, can be performed in patients with malignant duodenal obstruction. Technical tips for EUS-HGS have reached maturity due to device and technical developments. Although the technical success rates of EUS-HGS are high, the rate of adverse events is not low, with stent migration still being reported despite many preventive efforts. In this review, we described technical tips for EUS-HGS related to bile duct puncture, guidewire insertion, fistula dilation, and stent deployment, along with a literature revie...Continue Reading

References

Feb 24, 2001·Endoscopy·E L FogelG A Lehman
Feb 2, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Tsuyoshi HamadaKazuhiko Koike
Sep 13, 2013·Journal of Hepato-biliary-pancreatic Sciences·Kazumichi KawakuboYousuke Nakai
May 8, 2014·World Journal of Gastroenterology : WJG·Woo Hyun PaikJung Bok Lee
Jun 18, 2015·Journal of Gastroenterology and Hepatology·Takeshi OguraKazuhide Higuchi
Jul 7, 2015·Journal of Gastroenterology and Hepatology·Do Hyun ParkMyung-Hwan Kim
Sep 20, 2015·Gastrointestinal Endoscopy·Diogo Turiani Hourneaux De MouraEverson L Artifon
Mar 16, 2016·Gastrointestinal Endoscopy·Kosuke MinagaMasatoshi Kudo
Apr 22, 2016·World Journal of Gastroenterology : WJG·Takeshi Ogura, Kazuhide Higuchi
Jun 19, 2016·Gastrointestinal Endoscopy·Ryosuke TonozukaShuntaro Mukai
Jul 16, 2016·Journal of Gastroenterology and Hepatology·Mio AmanoKazuhide Higuchi
Dec 27, 2016·Journal of Gastroenterology and Hepatology·Masaaki ShimataniKazuichi Okazaki
Jun 18, 2017·Arab Journal of Gastroenterology : the Official Publication of the Pan-Arab Association of Gastroenterology·Ken KamataMasatoshi Kudo
Aug 15, 2017·Therapeutic Advances in Gastroenterology·Frédérick MoryoussefFrédéric Prat
Aug 27, 2017·Gastrointestinal Endoscopy·Erwin J M van Geenen, Peter D Siersema
Oct 22, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takeshi OguraYasutaka Chiba
Apr 19, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Akira MiyanoKazuhide Higuchi
Oct 18, 2018·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Takeshi OguraKazuhide Higuchi
Mar 26, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kosuke MinagaMasayuki Kitano
Aug 14, 2019·Gastrointestinal Endoscopy·Marvin RyouVivek Kumbhari

❮ Previous
Next ❯

Citations

Jan 23, 2021·Gastrointestinal Endoscopy·Takeshi Ogura, Kazuhide Higuchi
Jun 4, 2021·Clinical Endoscopy·Tanyaporn ChantarojanasiriNonthalee Pausawasdi
Jul 11, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Mateus Pereira FunariEduardo Guimarães Hourneaux de Moura
Jul 29, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takeshi OguraKazuhide Higuchi
Aug 5, 2021·Journal of Hepato-biliary-pancreatic Sciences·Takeshi OguraKazuhide Higuchi
Aug 14, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Sho HasegawaKensuke Kubota

❮ 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.

© 2021 Meta ULC. All rights reserved