Sep 26, 2019

EUS-guided biliary drainage for the management of benign biliary strictures in patients with altered anatomy: A single-center experience

Endoscopic Ultrasound
Margherita PizzicannellaMarc Giovannini

Abstract

The management of benign biliary stricture in patients with altered anatomy secondary to surgery is challenging. Percutaneous transhepatic biliary drainage (BD) represents the standard therapy for benign biliary stricture, but it is associated with nontrivial morbidity rates. Despite the increasing application of guided BD (EUS-BD) for the management of malignant obstruction, its role in patients with benign biliary stricture is limited. This retrospective study aimed to evaluate the feasibility, safety, and clinical effectiveness of EUS-BD with multiple transanastomotic plastic stent treatment in patients with benign biliary stricture. This study included consecutive patients who underwent EUS-BD for benign biliary stenosis at our center. EUS-BD with fully covered self-expandable metal stent placement was performed first. When feasible, the stricture was treated by balloon dilation with the placement of a transanastomotic double-pigtail plastic stent. Scheduled procedures were repeated to remove the metal stent and replace the plastic stent to treat the stenosis. Technical success and adverse events (AEs) were assessed. Twelve patients underwent EUS-BD for benign biliary strictures. Procedural and clinical successes were achie...Continue Reading

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Mentioned in this Paper

Health Center
Standard of Care
Study
Follow-up
Stent, Device
Metals
Bipolar Disorder
Neuronal Plasticity
Evaluation
Adverse Event

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