Prospective clinical study of endoscopic ultrasound-guided choledochoduodenostomy with direct metallic stent placement using a forward-viewing echoendoscope

被引：111

作者：

Hara, K. ^{[1
,5
]}

Yamao, K. ^{[1
]}

Hijioka, S. ^{[1
]}

Mizuno, N. ^{[1
]}

Imaoka, H. ^{[1
]}

Tajika, M. ^{[2
]}

Kondo, S. ^{[2
]}

Tanaka, T. ^{[2
]}

Haba, S. ^{[1
,3
]}

Takeshi, O. ^{[1
]}

Nagashio, Y. ^{[1
]}

Obayashi, T. ^{[1
]}

Shinagawa, A. ^{[1
]}

Bhatia, V. ^{[3
]}

Shimizu, Y. ^{[4
]}

Goto, H. ^{[5
]}

Niwa, Y. ^{[2
]}

机构：

[1] Aichi Canc Ctr Hosp, Dept Gastroenterol, Nagoya, Aichi 4648681, Japan

[2] Aichi Canc Ctr Hosp, Dept Endoscopy, Nagoya, Aichi 4648681, Japan

[3] Inst Liver & Biliary Sci, Dept Med Hepatol, Delhi, India

[4] Aichi Canc Ctr Hosp, Dept Gastrointestinal Surg, Nagoya, Aichi 4648681, Japan

[5] Nagoya Univ, Grad Sch Med, Dept Gastroenterol, Nagoya, Aichi 4648601, Japan

来源：

ENDOSCOPY | 2013年 / 45卷 / 05期

关键词：

MALIGNANT BILIARY OBSTRUCTION; UNRESECTABLE PANCREATIC-CANCER; ADVERSE EVENTS; DUODENAL STENT; BILE-DUCT; DRAINAGE;

D O I：

10.1055/s-0032-1326076

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

100201 [内科学];

摘要：

A prospective clinical study was conducted to evaluate the safety, feasibility, and efficacy of endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDS) with direct metallic stent placement using a prototype forward-viewing echoendoscope. The indication for EUS-CDS in this study was lower biliary obstruction only, and not failed endoscopic biliary drainage, because the aim was to evaluate EUS-CDS for first-line biliary drainage therapy. The technical and functional success rates were 94% (17/18) and 94% (16/17), respectively. Early complications (focal peritonitis) were encountered in two patients (11%). No patients developed late complications. EUS-CDS with direct metallic stent placement using a forward-viewing echoendoscope was generally feasible and effective for malignant distal biliary tract obstruction. The forward-viewing echoendoscope was useful, especially for deploying the metallic stent.

引用

页码：392 / 396

页数：5

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