International multicenter comparative trial of transluminal EUS-guided biliary drainage via hepatogastrostomy vs. choledochoduodenostomy approaches

Endoscopy International Open
Mouen A KhashabDo Hyun Park

Abstract

Endoscopic ultrasound-guided biliary drainage (EUS-BD) can be performed entirely transgastrically (hepatogastrostomy/EUS-HG) or transduodenally (choledochoduodenostomy/EUS-CDS). It is unknown how both techniques compare. The aims of this study were to compare efficacy and safety of both techniques and identify predictors of adverse events. Consecutive jaundiced patients with distal malignant biliary obstruction who underwent EUS-BD at multiple international centers were included. Technical/clinical success, adverse events, stent complications, and survival were assessed. A total of 121 patients underwent EUS-BD (CDS 60, HG 61). Technical success was achieved in 112 (92.56 %) patients (EUS-CDS 93.3 %, EUS-HG 91.8 %, P = 0.75). Clinical success was attained in 85.5 % of patients who underwent EUS-CDS group as compared to 82.1 % of patients who underwent EUS-HG (P = 0.64). Adverse events occurred more commonly in the EUS-HG group (19.67 % vs. 13.3 %, P = 0.37). Both plastic stenting (OR 4.95, 95 %CI 1.41 - 17.38, P = 0.01) and use of non-coaxial electrocautery (OR 3.95, 95 %CI 1.16 - 13.40, P = 0.03) were independently associated with adverse events. Length of hospital stay was significantly shorter in the CDS group (5.6 days vs. ...Continue Reading

Associated Clinical Trials

Mar 12, 2019·Yen-I Chen

Citations

Jan 25, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Vinay DhirKhek Yu Ho
Jan 27, 2019·Journal of Clinical Gastroenterology·Babu P MohanDouglas G Adler
Apr 27, 2019·Journal of Hepato-biliary-pancreatic Sciences·Hiroyuki IsayamaKazuo Inui
Nov 3, 2017·Journal of Clinical Gastroenterology·Ricardo S UemuraEverson L A Artifon
Dec 29, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shimpei MatsumotoYasumasa Niwa
May 15, 2019·AJR. American Journal of Roentgenology·Preethi Guniganti, Andrea S Kierans
May 18, 2020·BMJ Open Gastroenterology·Muhammad Nadeem YousafJames J Farrell
Aug 11, 2017·Current Treatment Options in Gastroenterology·Vishal B Gohil, Jason B Klapman
Feb 23, 2019·United European Gastroenterology Journal·A HedjoudjeF Prat
Jun 18, 2019·World Journal of Gastrointestinal Endoscopy·Raffaele SalernoSandro Ardizzone
May 19, 2018·World Journal of Gastrointestinal Endoscopy·José Celso ArdenghJosé Sebastião Dos Santos
Dec 6, 2020·Current Gastroenterology Reports·Abdul H El Chafic, Janak N Shah
Jul 20, 2021·VideoGIE : an Official Video Journal of the American Society for Gastrointestinal Endoscopy·Satoshi AsaiNaoki Fujimoto
Jul 11, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Mateus Pereira FunariEduardo Guimarães Hourneaux de Moura
Apr 27, 2021·Clinical Endoscopy·Takeshi Ogura, Kazuhide Higuchi
Jun 1, 2021·GE Portuguese Journal of Gastroenterology·Nuno NunesMiguel Bispo
Nov 9, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ji Young BangShyam Varadarajulu

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