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

被引：116
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：
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
收藏
页码：392 / 396
页数：5
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