Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction

被引：2

作者：

Fugazza, Alessandro ^{[1
]}

Andreozzi, Marta ^{[1
]}

De Marco, Alessandro ^{[1
]}

Da Rio, Leonardo ^{[1
]}

Colombo, Matteo ^{[1
]}

Spadaccini, Marco ^{[1
]}

Carrara, Silvia ^{[1
]}

Giacchetto, Marco ^{[1
]}

Sharma, Mrigya ^{[2
]}

Craviotto, Vincenzo ^{[1
]}

Busacca, Anita ^{[1
]}

Ferrari, Chiara ^{[3
]}

Repici, Alessandro ^{[1
,4
]}

机构：

[1] Humanitas Res Hosp IRCSS, Div Gastroenterol & Digest Endoscopy, Via Manzoni 56, I-20089 Milan, Italy

[2] GMERS Med Coll & Hosp, Vadodara 390021, India

[3] Humanitas Res Hosp IRCCS, Div Anaesthesiol, Via Manzoni 56, I-20089 Milan, Italy

[4] Humanitas Univ, Dept Biomed Sci, Via Rita Levi Montalcini 4, I-20090 Milan, Italy

来源：

DIAGNOSTICS | 2023年 / 13卷 / 17期

关键词：

endoscopic ultrasound; lumen apposing metal stent; malignant biliary obstruction; LAMS; biliary drainage; GALLBLADDER DRAINAGE; PERCUTANEOUS CHOLECYSTOSTOMY; RESCUE TREATMENT; CHOLEDOCHODUODENOSTOMY; ERCP; PALLIATION; MULTICENTER; PLACEMENT; SAFETY; MANAGEMENT;

D O I：

10.3390/diagnostics13172788

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This narrative review provides an overview of the application of endoscopic ultrasound-guided biliary drainage (EUS-BD), including EUS-guided gallbladder drainage (EUS-GBD), for the treatment of malignant biliary obstruction. EUS-BD has demonstrated excellent technical and clinical success rates, with lower rates of adverse events when compared with percutaneous trans-hepatic biliary drainage (PTBD). EUS-BD is currently the preferred alternative technique for biliary drainage (BD) in patients with distal malignant biliary obstruction (DMBO) after failed endoscopic retrograde cholangiopancreatography (ERCP). Particularly, this review will focus on EUS-BD performed with the use of lumen apposing metal stent (LAMS). The introduction of these innovative devices, followed by the advent of electrocautery-enhanced LAMS (EC-LAMS), gave the procedure a great technical implementation and a widespread application.

引用

页数：11

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