Dec 8, 2009

Endosonography-guided biliary drainage in cases with difficult transpapillary endoscopic biliary drainage

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Jun HoraguchiYoshihide Kanno

Abstract

Recently, reports on a new endoscopic biliary drainage technique utilizing endosonographic guidance (endosonography-guided biliary drainage [ESBD]) have been increasing. The aim of this study was to evaluate the efficacy of ESBD in cases with difficult transpapillary endoscopic biliary drainage (EBD). Sixteen patients with obstructive jaundice who underwent ESBD because of difficult EBD between January 2007 and September 2008 were included. The technical success, complications, and clinical efficacy of ESBD were prospectively evaluated. ESBD was performed via the duodenum, stomach, and esophagus in eight, six and two patients, respectively. Stent placement was successful in all cases and excellent biliary decompression was achieved in all but one patient. One patient developed localized peritonitis following guidewire migration and re-puncture of the bile duct. In another patient, stent migration was observed one week after ESBD and re-ESBD was carried out. Three patients underwent surgery for their primary diseases, and stent exchange was carried out in 10 patients during the course. ESBD is an effective treatment for obstructive jaundice that will replace percutaneous transhepatic biliary drainage in cases of difficult EBD an...Continue Reading

Mentioned in this Paper

Endoscopy (Procedure)
Jaundice, Obstructive
Surgical Endoscopy
Esophageal Tissue
Esophageal Diseases
Stent, Device
Duodenum
Entire Esophagus
Puncture Procedure
Endoscopic Ultrasound

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