کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6097514 1210290 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
New methodsClinical endoscopyEUS-guided methylene blue cholangiopancreatography for benign biliopancreatic diseases after failed ERCP
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
New methodsClinical endoscopyEUS-guided methylene blue cholangiopancreatography for benign biliopancreatic diseases after failed ERCP
چکیده انگلیسی

Background and AimsWhen ERCP fails, EUS-guided interventional techniques may be an alternative. The aim of this study was to evaluate the general outcomes and safety of EUS-guided methylene blue cholangiopancreatography in patients with failed ERCP in benign biliopancreatic diseases.MethodsPatients with benign biliopancreatic diseases and failed ERCP were included. EUS-guided cholangiopancreatography plus injection of methylene blue was performed, and then ERCP using coloring agent flow as an indicator of papilla orifice was performed. Procedures were prospectively collected in this observational, single-center study. Technical success, clinical success, and adverse events were analyzed retrospectively.ResultsEleven patients were included (10 choledocholithiasis, 1 pancreatic stricture). The main reason for failed ERCP was an unidentifiable papilla. EUS-guided ductal access with cholangiopancreatography and papilla orifice identification was obtained in all cases. Technical success and clinical success rates of 91% were achieved, with successful biliopancreatic drainage in 10 patients. Adverse events included 1 peripancreatic abscess attributed to a precut, which was successfully treated. No adverse events were related to the first EUS-guided stage.ConclusionEUS-guided cholangiopancreatography with methylene blue injection seems to be a feasible and helpful technique for treatment in patients with benign biliopancreatic diseases with previous failed ERCP because of an undetectable papilla.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gastrointestinal Endoscopy - Volume 84, Issue 1, July 2016, Pages 152-157
نویسندگان
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