Comparison of recurrent biliary obstruction with the use of metal and plastic stents in EUS-guided biliary drainage: A propensity score-matched analysis

被引：6

作者：

Hashimoto, Shinichi ^{[1
]}

Iwashita, Yuji ^{[1
,2
]}

Taguchi, Hiroki ^{[1
]}

Tanoue, Shiroh ^{[1
]}

Ohi, Takayuki ^{[1
,3
]}

Shibata, Ryusuke ^{[1
,3
]}

Haraguchi, Tomoaki ^{[1
,4
]}

Kamikihara, Yusuke ^{[1
]}

Toyodome, Koshiro ^{[1
]}

Kojima, Issei ^{[1
]}

Araki, Norimasa ^{[1
]}

Tsuneyoshi, Kengo ^{[1
,5
]}

Nakamura, Yoshitaka ^{[1
]}

Fujita, Toshihiro ^{[1
,3
]}

Hinokuchi, Makoto ^{[1
]}

Iwaya, Hiromichi ^{[1
]}

Arima, Shiho ^{[1
]}

Sasaki, Fumisato ^{[1
]}

Kanmura, Shuji ^{[1
]}

Ido, Akio ^{[1
]}

机构：

[1] Kagoshima Univ, Grad Sch Med & Dent Sci, Digest & Lifestyle Dis, 8-35-1 Sakuragaoka, Kagoshima 8908520, Japan

[2] Kagoshima City Hosp, Dept Gastroenterol, Kagoshima, Japan

[3] Saiseikai Sendai Hosp, Dept Gastroenterol, Kagoshima, Japan

[4] Kagoshima Prefectural Satsunan Hosp, Dept Gastroenterol, Kagoshima, Japan

[5] Kagoshima Prefectural Ooshima Hosp, Dept Gastroenterol, Kagoshima, Japan

来源：

ENDOSCOPIC ULTRASOUND | 2023年 / 12卷 / 01期

关键词：

EUS-guided biliary drainage; hepaticogastrostomy; metal stent; propensity score matching; recurrent biliary obstruction; BILE-DUCT; CHOLEDOCHODUODENOSTOMY;

D O I：

10.4103/EUS-D-21-00251

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and Objectives: In transpapillary biliary drainage, metal stents (MSs) exhibit a lower incidence of a biliary obstruction than plastic stents (PSs). However, few studies have compared recurrent biliary obstruction (RBO) when MSs and PSs are used in EUS-guided hepaticogastrostomy (EUS-HGS) and choledochoduodenostomy (EUS-CDS). We retrospectively evaluated the RBO for both stents in each procedure. Patients and Methods: Between November 2012 and December 2020, 85 and 53 patients who underwent EUS-HGS and EUS-CDS for unresectable malignant biliary obstruction, respectively, were enrolled. Factors associated with RBO were assessed. Clinical outcomes were compared between the MS and PS groups using propensity score matching. Results: The clinical success rate and procedure-related adverse events were similar in the MS and PS groups. Multivariate analysis identified the use of PS as a factor associated with RBO (EUS-HGS, P = 0.03; EUS-CDS, P = 0.02). After matching, the median time to RBO in EUS-HGS (MS: 313; PS: 125 days; P = 0.01) in the MS group was longer than that in the PS group. The cumulative incidence of RBO at 1, 3, and 6 months in the MS group was significantly lower than that in the PS group for EUS-HGS (MS: 4.0%, 8.2%, and 8.2%; PS: 12.4%, 24.9%, and 39.5%, respectively, P = 0.01). Conclusions: MS exhibited a lower rate of RBO than PS for EUS-HGS and EUS-CDS.

引用

页码：64 / 73

页数：10

共 23 条

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