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Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage

Background and study aims Endoscopic nasobiliary drainage is accompanied by a risk of accidental removal of the nasobiliary drainage (NBD) tube, especially through self-removal in elderly patients. We studied the usefulness of an integrated biliary stent and nasobiliary catheter system (UMIDAS NB st...

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Autores principales: Yamaguchi, Atsushi, Kato, Naohiro, Sugata, Syuhei, Hamada, Takuro, Furuya, Nao, Mizumoto, Takeshi, Tamaru, Yuzuru, Kusunoki, Ryusaku, Kuwai, Toshio, Kouno, Hirotaka, Kohno, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504041/
https://www.ncbi.nlm.nih.gov/pubmed/37719800
http://dx.doi.org/10.1055/a-2125-3896
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author Yamaguchi, Atsushi
Kato, Naohiro
Sugata, Syuhei
Hamada, Takuro
Furuya, Nao
Mizumoto, Takeshi
Tamaru, Yuzuru
Kusunoki, Ryusaku
Kuwai, Toshio
Kouno, Hirotaka
Kohno, Hiroshi
author_facet Yamaguchi, Atsushi
Kato, Naohiro
Sugata, Syuhei
Hamada, Takuro
Furuya, Nao
Mizumoto, Takeshi
Tamaru, Yuzuru
Kusunoki, Ryusaku
Kuwai, Toshio
Kouno, Hirotaka
Kohno, Hiroshi
author_sort Yamaguchi, Atsushi
collection PubMed
description Background and study aims Endoscopic nasobiliary drainage is accompanied by a risk of accidental removal of the nasobiliary drainage (NBD) tube, especially through self-removal in elderly patients. We studied the usefulness of an integrated biliary stent and nasobiliary catheter system (UMIDAS NB stent) for biliary drainage in case of accidental NBD tube removal. Patients and methods From April to November 2022, we placed a UMIDAS NB stent in 30 patients with acute cholangitis or obstructive jaundice. We evaluated the plastic stent (PS) position at the time of accidental stent removal and before the planned endoscopic procedure. In addition, we studied the ratio of successful biliary drainage and complications based on the usage of UMIDAS. Results All 11 patients with accidental stent removal exhibited correct PS position in X-ray fluoroscopy. Of the 19 patients with planned NBD tube removal, three had complete PS migration into the common bile duct and three had incomplete migration (the duodenal side flap entered the bile duct). In summary, 80% (24/30) of PS were in the correct position, and all patients had successful biliary drainage and no complications. Conclusions The UMIDAS NB stent might be useful for biliary drainage in patients with a high risk of NBD tube self-removal.
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spelling pubmed-105040412023-09-16 Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage Yamaguchi, Atsushi Kato, Naohiro Sugata, Syuhei Hamada, Takuro Furuya, Nao Mizumoto, Takeshi Tamaru, Yuzuru Kusunoki, Ryusaku Kuwai, Toshio Kouno, Hirotaka Kohno, Hiroshi Endosc Int Open Background and study aims Endoscopic nasobiliary drainage is accompanied by a risk of accidental removal of the nasobiliary drainage (NBD) tube, especially through self-removal in elderly patients. We studied the usefulness of an integrated biliary stent and nasobiliary catheter system (UMIDAS NB stent) for biliary drainage in case of accidental NBD tube removal. Patients and methods From April to November 2022, we placed a UMIDAS NB stent in 30 patients with acute cholangitis or obstructive jaundice. We evaluated the plastic stent (PS) position at the time of accidental stent removal and before the planned endoscopic procedure. In addition, we studied the ratio of successful biliary drainage and complications based on the usage of UMIDAS. Results All 11 patients with accidental stent removal exhibited correct PS position in X-ray fluoroscopy. Of the 19 patients with planned NBD tube removal, three had complete PS migration into the common bile duct and three had incomplete migration (the duodenal side flap entered the bile duct). In summary, 80% (24/30) of PS were in the correct position, and all patients had successful biliary drainage and no complications. Conclusions The UMIDAS NB stent might be useful for biliary drainage in patients with a high risk of NBD tube self-removal. Georg Thieme Verlag KG 2023-09-15 /pmc/articles/PMC10504041/ /pubmed/37719800 http://dx.doi.org/10.1055/a-2125-3896 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Yamaguchi, Atsushi
Kato, Naohiro
Sugata, Syuhei
Hamada, Takuro
Furuya, Nao
Mizumoto, Takeshi
Tamaru, Yuzuru
Kusunoki, Ryusaku
Kuwai, Toshio
Kouno, Hirotaka
Kohno, Hiroshi
Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage
title Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage
title_full Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage
title_fullStr Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage
title_full_unstemmed Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage
title_short Efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage
title_sort efficacy of a novel integrated biliary stent and nasobiliary catheter system for accidental tube deviation in biliary drainage
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504041/
https://www.ncbi.nlm.nih.gov/pubmed/37719800
http://dx.doi.org/10.1055/a-2125-3896
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