کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6097512 1210290 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
New methodsClinical endoscopyEUS-guided gallbladder drainage for rescue treatment of malignant distal biliary obstruction after unsuccessful ERCP
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
New methodsClinical endoscopyEUS-guided gallbladder drainage for rescue treatment of malignant distal biliary obstruction after unsuccessful ERCP
چکیده انگلیسی

Background and AimsEUS-guided bile duct drainage (EUS-BD) is a well-recognized rescue biliary drainage method after unsuccessful ERCP. EUS-guided gallbladder drainage (EUS-GBD) was recently used to treat acute cholecystitis. The aim of this study was to assess the efficacy and safety of EUS-GBD for malignant biliary stricture-induced obstructive jaundice after unsuccessful ERCP as well as unsuccessful or impractical EUS-BD.MethodsBetween January 2006 and October 2014, 12 patients with obstructive jaundice due to unresectable malignant distal biliary stricture underwent EUS-GBD after ERCP failed. EUS-GBD was performed under the guidance of EUS and fluoroscopy by puncturing the gallbladder with a needle, inserting a guidewire, dilating the puncture hole, and placing a stent. The technical and functional success rates, adverse events rate, overall patient survival time, and stent dysfunction rate during patient survival were measured.ResultsThe rates of technical success, functional success, adverse events, and stent dysfunction were 100%, 91.7%, 16.7%, and 8.3%, respectively. The median survival time after EUS-GBD was 105 days (range 15 - 236 days).ConclusionsEUS-GBD is a possible alternative route for decompression of the biliary system when ERCP is unsuccessful.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gastrointestinal Endoscopy - Volume 84, Issue 1, July 2016, Pages 147-151
نویسندگان
, , , , , , , , , , , , , ,