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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
EUS-guided hepaticogastrostomy combined with fine-gauge antegrade stenting: A pilot study
Endoscopy, Volume 46, No. 5, Year 2014
Notification
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Description
Background and study aim: To minimize bile leakage and avoid possible death because of stent migration in endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS), we have recently combined EUS-HGS with EUS-guided antegrade stenting (EUS-AS) of the biliary obstruction using a novel uncovered metallic stent with a fine-gauge delivery system. In this pilot study, we evaluated the feasibility and adverse events associated with this combination therapy using the novel stent. Patients and methods: We performed EUS-guided antegrade stenting and hepaticogastrostomy in 12 consecutive patients. Results: The novel EUS-AS stent was placed across the ampulla of Vater in 8 patients and above the ampulla in 4. Technical and functional success rates were 100%. In addition, the insertion of the first stent was achieved in all patients without dilation of the fistula between stomach and intrahepatic bile duct. Although 1 patient experienced mild pancreatitis, adverse events such as bile peritonitis or stent dysfunction did not occur during follow-up (mean 122 days, range 62-210 days). Conclusion: This method appears to safely and effectively avoid adverse events associated with EUS-HGS. © Georg Thieme Verlag KG Stuttgart · New York.
Authors & Co-Authors
Ogura, Takeshi
Japan, Takatsuki
Osaka Medical and Pharmaceutical University
Masuda, Daisuke
Japan, Takatsuki
Osaka Medical and Pharmaceutical University
Imoto, Akira
Japan, Takatsuki
Osaka Medical and Pharmaceutical University
Takeushi, Toshihisa
Japan, Takatsuki
Osaka Medical and Pharmaceutical University
Kamiyama, Rieko
Japan, Takatsuki
Osaka Medical and Pharmaceutical University
Mohamed, Malak
Egypt, Sohag
Faculty of Medicine
Umegaki, Eiji
Japan, Takatsuki
Osaka Medical and Pharmaceutical University
Higuchi, Kazuhide
Japan, Takatsuki
Osaka Medical and Pharmaceutical University
Statistics
Citations: 52
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1055/s-0034-1365020
ISSN:
0013726X
e-ISSN:
14388812
Research Areas
Health System And Policy
Study Design
Cohort Study