EUS-guided gallbladder drainage for rescue treatment of malignant distal biliary obstruction after unsuccessful ERCP

Gastrointestinal Endoscopy
Hajime ImaiMasatoshi Kudo

Abstract

EUS-guided bile duct drainage (EUS-BD) is a well-recognized rescue biliary drainage method after unsuccessful ERCP. EUS-guided gallbladder drainage (EUS-GBD) was recently used to treat acute cholecystitis. The aim of this study was to assess the efficacy and safety of EUS-GBD for malignant biliary stricture-induced obstructive jaundice after unsuccessful ERCP as well as unsuccessful or impractical EUS-BD. Between January 2006 and October 2014, 12 patients with obstructive jaundice due to unresectable malignant distal biliary stricture underwent EUS-GBD after ERCP failed. EUS-GBD was performed under the guidance of EUS and fluoroscopy by puncturing the gallbladder with a needle, inserting a guidewire, dilating the puncture hole, and placing a stent. The technical and functional success rates, adverse events rate, overall patient survival time, and stent dysfunction rate during patient survival were measured. The rates of technical success, functional success, adverse events, and stent dysfunction were 100%, 91.7%, 16.7%, and 8.3%, respectively. The median survival time after EUS-GBD was 105 days (range 15 - 236 days). EUS-GBD is a possible alternative route for decompression of the biliary system when ERCP is unsuccessful.

References

Jan 31, 2003·Gastrointestinal Endoscopy·Eike BurmesterThomas Huetteroth
Aug 30, 2007·Gastrointestinal Endoscopy·Vu KwanJacques Devière
Aug 21, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Osamu TakasawaTakashi Obana
Jul 24, 2010·Journal of Hepato-biliary-pancreatic Sciences·Takao ItoiToshio Kurihara
Apr 8, 2011·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Takamitsu KomakiMasatoshi Kudo
Dec 5, 2012·Gastrointestinal Endoscopy·Carlos de la Serna-HigueraHenar Nuñez-Rodriguez

❮ Previous
Next ❯

Citations

Mar 15, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Todd H Baron, Ian S Grimm
May 22, 2016·Gastrointestinal Endoscopy·Masayuki KitanoMasatoshi Kudo
Jun 26, 2017·Gastroenterology·Michael B WallaceAmit Rastogi
Jul 25, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kosuke MinagaMasayuki Kitano
Nov 29, 2017·Diagnostic and Therapeutic Endoscopy·Dadang MakmunAri Fahrial Syam
Oct 22, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takeshi OguraYasutaka Chiba
Jun 29, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kosuke Minaga, Masayuki Kitano
Mar 26, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kosuke MinagaMasayuki Kitano
Apr 27, 2019·Journal of Hepato-biliary-pancreatic Sciences·Hiroyuki IsayamaKazuo Inui
Aug 5, 2020·Digestive Diseases and Sciences·Zain A SobaniTarun Rustagi
Jun 18, 2019·World Journal of Gastrointestinal Endoscopy·Raffaele SalernoSandro Ardizzone
Jul 22, 2018·The Journal of International Medical Research·Jin Myung ParkSeong Whi Cho
Aug 16, 2019·World Journal of Gastroenterology : WJG·Andrea AnderloniAlessandro Repici
Jun 12, 2020·Clinical and Experimental Gastroenterology·Alessandro FugazzaAndrea Anderloni
Mar 25, 2020·World Journal of Gastroenterology : WJG·Kosuke MinagaMasatoshi Kudo
Jan 4, 2020·Endoscopic Ultrasound·Anthony Yuen Bun Teoh
Dec 4, 2020·World Journal of Gastrointestinal Endoscopy·Germana de NucciGianpiero Manes
Apr 26, 2021·Clinical Journal of Gastroenterology·Cosmas Rinaldi Adithya Lesmana, Baiq Kirana Dyah Mandasari
Jul 28, 2021·Gastrointestinal Endoscopy·UNKNOWN Prepared by: ASGE TECHNOLOGY COMMITTEEDavid R Lichtenstein
Jun 7, 2021·Current Opinion in Gastroenterology·Christoph F DietrichChristian Jenssen
Oct 26, 2021·Clinical Journal of Gastroenterology·José Lariño-NoiaJuan Enrique Dominguez-Muñoz

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.