Italian Survey on Endoscopic Biliary Drainage Approach in Patients with Surgically Altered Anatomy

被引:1
作者
Mauro, Aurelio [1 ]
Binda, Cecilia [2 ]
Fugazza, Alessandro [3 ]
Vanella, Giuseppe [4 ,5 ]
Mirante, Vincenzo Giorgio [6 ]
Mazza, Stefano [1 ]
Scalvini, Davide [1 ,7 ]
Tarantino, Ilaria [8 ]
Fabbri, Carlo [2 ]
Anderloni, Andrea [1 ]
机构
[1] Fdn IRCCS Policlin San Matteo, Gastroenterol & Digest Endoscopy Unit, Viale Camillo Golgi 19, I-27100 Pavia, Italy
[2] Forli Cesena Hosp, Gastroenterol & Digest Endoscopy Unit, AUSL Romagna, I-47121 Forli, Italy
[3] IRCCS, Humanitas Res Hosp, Div Gastroenterol & Digest Endoscopy, Via Manzoni 56, I-20089 Milan, Italy
[4] IRCCS San Raffaele Sci Inst, Pancreas Translat & Clin Res Ctr, Pancreatobiliary Endoscopy & Endosonog Div, I-20132 Milan, Italy
[5] IRCCS San Raffaele Sci Inst, Pancreatobiliary Endoscopy & Endosonog Div, I-20132 Milan, Italy
[6] Gastroenterol & Digest Endoscopy Unit, Azienda USL IRCCS Reggio Emilia, I-42122 Reggio Emilia, Italy
[7] Univ Pavia, Dept Internal Med, I-27100 Pavia, Italy
[8] Dept Diagnost, Dept Diagnost & Therapeut Serv, IRCCS ISMETT, I-90127 Palermo, Italy
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 03期
关键词
altered anatomy; biliary drainage; Roux-en-Y; Billroth-II; ERCP; EUS-guided biliary drainage; device-assisted ERCP; RETROGRADE CHOLANGIOPANCREATOGRAPHY; ERCP; EUS; COMPLICATIONS; OBSTRUCTION; BYPASS;
D O I
10.3390/medicina60030472
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Biliary drainage (BD) in patients with surgically altered anatomy (SAA) could be obtained endoscopically with different techniques or with a percutaneous approach. Every endoscopic technique could be challenging and not clearly superior over another. The aim of this survey is to explore which is the standard BD approach in patients with SAA. Materials and Methods: A 34-question online survey was sent to different Italian tertiary and non-tertiary endoscopic centers performing interventional biliopancreatic endoscopy. The core of the survey was focused on the first-line and alternative BD approaches to SAA patients with benign or malignant obstruction. Results: Out of 70 centers, 39 answered the survey (response rate: 56%). Only 48.7% of them declared themselves to be reference centers for endoscopic BD in SAA. The total number of procedures performed per year is usually low, especially in non-tertiary centers; however, they have a low tendency to refer to more experienced centers. In the case of Billroth-II reconstruction, the majority of centers declared that they use a duodenoscope or forward-viewing scope in both benign and malignant diseases as a first approach. However, in the case of failure, the BD approach becomes extremely heterogeneous among centers without any technique prevailing over the others. Interestingly, in the case of Roux-en-Y, a significant proportion of centers declared that they choose the percutaneous approach in both benign (35.1%) and malignant obstruction (32.4%) as a first option. In the case of a previous failed attempt at BD in Roux-en-Y, the subsequent most used approach is the EUS-guided intervention in both benign and malignant indications. Conclusions: This survey shows that the endoscopic BD approach is extremely heterogeneous, especially in patients with Roux-en-Y reconstruction or after ERCP failure in Billroth-II reconstruction. Percutaneous BD is still taken into account by a significant proportion of centers in the case of Roux-en-Y anatomy. The total number of endoscopic BD procedures performed in non-tertiary centers is usually low, but this result does not correspond to an adequate rate of referral to more experienced centers.
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