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Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase

Endoscopic ultrasound (EUS)‐guided transhepatic biliary drainage is usually performed with a 19‐gauge fine‐needle aspiration (FNA) needle and a 0.025‐inch guidewire. The combination of a 22‐gauge FNA needle and a 0.018‐inch guidewire is reported to be effective as a rescue option when the bile duct...

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Autores principales: Yane, Kei, Yoshida, Masahiro, Imagawa, Takayuki, Morita, Kotaro, Ihara, Hideyuki, Hanada, Kota, Hirokawa, Sota, Tomita, Yusuke, Minagawa, Takeyoshi, Okagawa, Yutaka, Sumiyoshi, Tetsuya, Hirayama, Michiaki, Kondo, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10564090/
https://www.ncbi.nlm.nih.gov/pubmed/37822965
http://dx.doi.org/10.1002/deo2.297
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author Yane, Kei
Yoshida, Masahiro
Imagawa, Takayuki
Morita, Kotaro
Ihara, Hideyuki
Hanada, Kota
Hirokawa, Sota
Tomita, Yusuke
Minagawa, Takeyoshi
Okagawa, Yutaka
Sumiyoshi, Tetsuya
Hirayama, Michiaki
Kondo, Hitoshi
author_facet Yane, Kei
Yoshida, Masahiro
Imagawa, Takayuki
Morita, Kotaro
Ihara, Hideyuki
Hanada, Kota
Hirokawa, Sota
Tomita, Yusuke
Minagawa, Takeyoshi
Okagawa, Yutaka
Sumiyoshi, Tetsuya
Hirayama, Michiaki
Kondo, Hitoshi
author_sort Yane, Kei
collection PubMed
description Endoscopic ultrasound (EUS)‐guided transhepatic biliary drainage is usually performed with a 19‐gauge fine‐needle aspiration (FNA) needle and a 0.025‐inch guidewire. The combination of a 22‐gauge FNA needle and a 0.018‐inch guidewire is reported to be effective as a rescue option when the bile duct diameter is small or technically challenging. Experts in EUS‐guided transhepatic biliary drainage have reported that bile duct puncture with a 19‐gauge FNA needle is possible in most cases, but is not easy to reproduce by endoscopists with less experience in EUS‐guided transhepatic biliary drainage. We investigated the usefulness of EUS‐guided transhepatic biliary drainage using a 22‐gauge FNA needle and a 0.018‐inch guidewire during the procedure's induction phase. Consecutive patients who underwent EUS‐guided transhepatic biliary drainage at our institution from March 2021 to May 2023 were evaluated, and 37 were included. Biliary drainage was performed for malignant bile duct stricture in 36 patients and choledocholithiasis in one patient. The median target bile duct diameter was 4.5 mm (2.5–9.4). Biliary access, fistula dilation, and stent placement were successful in the 37 patients (100%). The median procedure time was 35 min (16–125). Adverse events occurred in four (10.8%) patients. EUS‐guided transhepatic biliary drainage using a 22‐gauge FNA needle and a 0.018‐inch guidewire is a useful and promising option for endoscopists with limited experience in EUS‐guided transhepatic biliary drainage in the procedure's induction phase.
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spelling pubmed-105640902023-10-11 Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase Yane, Kei Yoshida, Masahiro Imagawa, Takayuki Morita, Kotaro Ihara, Hideyuki Hanada, Kota Hirokawa, Sota Tomita, Yusuke Minagawa, Takeyoshi Okagawa, Yutaka Sumiyoshi, Tetsuya Hirayama, Michiaki Kondo, Hitoshi DEN Open Techniques and Innovation Endoscopic ultrasound (EUS)‐guided transhepatic biliary drainage is usually performed with a 19‐gauge fine‐needle aspiration (FNA) needle and a 0.025‐inch guidewire. The combination of a 22‐gauge FNA needle and a 0.018‐inch guidewire is reported to be effective as a rescue option when the bile duct diameter is small or technically challenging. Experts in EUS‐guided transhepatic biliary drainage have reported that bile duct puncture with a 19‐gauge FNA needle is possible in most cases, but is not easy to reproduce by endoscopists with less experience in EUS‐guided transhepatic biliary drainage. We investigated the usefulness of EUS‐guided transhepatic biliary drainage using a 22‐gauge FNA needle and a 0.018‐inch guidewire during the procedure's induction phase. Consecutive patients who underwent EUS‐guided transhepatic biliary drainage at our institution from March 2021 to May 2023 were evaluated, and 37 were included. Biliary drainage was performed for malignant bile duct stricture in 36 patients and choledocholithiasis in one patient. The median target bile duct diameter was 4.5 mm (2.5–9.4). Biliary access, fistula dilation, and stent placement were successful in the 37 patients (100%). The median procedure time was 35 min (16–125). Adverse events occurred in four (10.8%) patients. EUS‐guided transhepatic biliary drainage using a 22‐gauge FNA needle and a 0.018‐inch guidewire is a useful and promising option for endoscopists with limited experience in EUS‐guided transhepatic biliary drainage in the procedure's induction phase. John Wiley and Sons Inc. 2023-10-10 /pmc/articles/PMC10564090/ /pubmed/37822965 http://dx.doi.org/10.1002/deo2.297 Text en © 2023 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Techniques and Innovation
Yane, Kei
Yoshida, Masahiro
Imagawa, Takayuki
Morita, Kotaro
Ihara, Hideyuki
Hanada, Kota
Hirokawa, Sota
Tomita, Yusuke
Minagawa, Takeyoshi
Okagawa, Yutaka
Sumiyoshi, Tetsuya
Hirayama, Michiaki
Kondo, Hitoshi
Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
title Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
title_full Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
title_fullStr Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
title_full_unstemmed Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
title_short Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
title_sort usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
topic Techniques and Innovation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10564090/
https://www.ncbi.nlm.nih.gov/pubmed/37822965
http://dx.doi.org/10.1002/deo2.297
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