Jul 24, 2014

Preliminary report on a new hybrid metal stent for EUS-guided biliary drainage (with videos)

Gastrointestinal Endoscopy
Tae Jun SongMyung-Hwan Kim


EUS-guided biliary drainage (EUS-BD) may be a feasible and useful alternative in patients with malignant biliary obstruction after failed ERCP. One of the main limitations of EUS-BD is the lack of devices specifically tailored to this technique. To evaluate a newly developed hybrid metal stent customized for EUS-BD. A prospective, observational study. A tertiary academic referral center. A total of 27 consecutive patients with malignant biliary obstruction who were candidates for alternative techniques for biliary drainage because of failed ERCP were enrolled. EUS-BD with a newly developed hybrid metal stent. The technical and clinical success rates and adverse events, including proximal or distal stent migration and cholangitis. EUS-guided hepaticogastrostomy was performed in 10 patients, and EUS-guided choledochoduodenostomy was performed in 17 patients. The technical success rate of EUS-BD with the hybrid metal stent was 100% (27/27), and clinical success was achieved in 96.3% (26/27) of the cases. Adverse events developed in 5 patients (5/27, 18.5%), including a self-limited pneumoperitoneum in 3 patients, minor bleeding in 1 patient, and abdominal pain in 1 patient. During the follow-up period (median 134 days), proximal o...Continue Reading

Mentioned in this Paper

Endoscopy (Procedure)
Yellow Skin or Eyes (Symptom)
Rectal Neoplasms
Neuroendocrine Tumors
Entire Lumen of Body System
Biliary Atresia
Abdominal Pain
Tertiary Care Centers

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