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Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation

OBJECTIVES: To evaluate the feasibility and safety of endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) without fistula dilation using a novel self‐expandable metal stent (SEMS). METHODS: This retrospective study examined patients who underwent EUS‐CDS for malignant distal biliary obstru...

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Autores principales: Koga, Takehiko, Hijioka, Susumu, Nagashio, Yosikuni, Ohba, Akihiro, Maruki, Yuta, Yoshinari, Motohiro, Hisada, Yuya, Harai, Shota, Kitamura, Hidetoshi, Maehara, Kosuke, Murashima, Yumi, Kawasaki, Yuki, Kawahara, Shun, Takeshita, Kotaro, Yamada, Natsumi, Satake, Tomoyuki, Kondo, Shunsuke, Morizane, Chigusa, Ueno, Hideki, Okusaka, Takuji, Saito, Yutaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828169/
https://www.ncbi.nlm.nih.gov/pubmed/35310726
http://dx.doi.org/10.1002/deo2.56
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author Koga, Takehiko
Hijioka, Susumu
Nagashio, Yosikuni
Ohba, Akihiro
Maruki, Yuta
Yoshinari, Motohiro
Hisada, Yuya
Harai, Shota
Kitamura, Hidetoshi
Maehara, Kosuke
Murashima, Yumi
Kawasaki, Yuki
Kawahara, Shun
Takeshita, Kotaro
Yamada, Natsumi
Satake, Tomoyuki
Kondo, Shunsuke
Morizane, Chigusa
Ueno, Hideki
Okusaka, Takuji
Saito, Yutaka
author_facet Koga, Takehiko
Hijioka, Susumu
Nagashio, Yosikuni
Ohba, Akihiro
Maruki, Yuta
Yoshinari, Motohiro
Hisada, Yuya
Harai, Shota
Kitamura, Hidetoshi
Maehara, Kosuke
Murashima, Yumi
Kawasaki, Yuki
Kawahara, Shun
Takeshita, Kotaro
Yamada, Natsumi
Satake, Tomoyuki
Kondo, Shunsuke
Morizane, Chigusa
Ueno, Hideki
Okusaka, Takuji
Saito, Yutaka
author_sort Koga, Takehiko
collection PubMed
description OBJECTIVES: To evaluate the feasibility and safety of endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) without fistula dilation using a novel self‐expandable metal stent (SEMS). METHODS: This retrospective study examined patients who underwent EUS‐CDS for malignant distal biliary obstruction between October 2017 and May 2021 at the National Cancer Center, Japan. The primary outcome was a technical success without fistula dilation. Secondary outcomes were the overall technical success, clinical success, adverse events (AEs), procedure time, recurrent biliary obstruction (RBO), and time to RBO (TRBO). RESULTS: Forty‐one patients were enrolled; 31 patients underwent EUS‐CDS with fistula dilation using a conventional SEMS with 7.5–8.5‐Fr delivery system (conventional SEMS group), and 10 patients underwent EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system (novel SEMS group). In the novel SEMS group, the rate of technical success without fistula dilation was 90%. There were no differences in overall technical success (100% vs. 97%, p = 1.00), clinical success (80% vs. 90%, p = 0.58), and overall AEs (10% vs. 23%, p = 0.65) rates between the novel and conventional SEMS groups. In the novel SEMS group, no early AEs were observed and no bile leakage into the abdominal cavity was observed on the computed tomography scan after the procedure. The median procedure time was significantly shorter in the novel SEMS group (17 min vs. 24 min, p = 0.03). RBO and median TRBO did not differ between the 2 groups. CONCLUSIONS: EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system is technically feasible, straightforward, quick, and safe.
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spelling pubmed-88281692022-03-17 Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation Koga, Takehiko Hijioka, Susumu Nagashio, Yosikuni Ohba, Akihiro Maruki, Yuta Yoshinari, Motohiro Hisada, Yuya Harai, Shota Kitamura, Hidetoshi Maehara, Kosuke Murashima, Yumi Kawasaki, Yuki Kawahara, Shun Takeshita, Kotaro Yamada, Natsumi Satake, Tomoyuki Kondo, Shunsuke Morizane, Chigusa Ueno, Hideki Okusaka, Takuji Saito, Yutaka DEN Open Original Articles OBJECTIVES: To evaluate the feasibility and safety of endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) without fistula dilation using a novel self‐expandable metal stent (SEMS). METHODS: This retrospective study examined patients who underwent EUS‐CDS for malignant distal biliary obstruction between October 2017 and May 2021 at the National Cancer Center, Japan. The primary outcome was a technical success without fistula dilation. Secondary outcomes were the overall technical success, clinical success, adverse events (AEs), procedure time, recurrent biliary obstruction (RBO), and time to RBO (TRBO). RESULTS: Forty‐one patients were enrolled; 31 patients underwent EUS‐CDS with fistula dilation using a conventional SEMS with 7.5–8.5‐Fr delivery system (conventional SEMS group), and 10 patients underwent EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system (novel SEMS group). In the novel SEMS group, the rate of technical success without fistula dilation was 90%. There were no differences in overall technical success (100% vs. 97%, p = 1.00), clinical success (80% vs. 90%, p = 0.58), and overall AEs (10% vs. 23%, p = 0.65) rates between the novel and conventional SEMS groups. In the novel SEMS group, no early AEs were observed and no bile leakage into the abdominal cavity was observed on the computed tomography scan after the procedure. The median procedure time was significantly shorter in the novel SEMS group (17 min vs. 24 min, p = 0.03). RBO and median TRBO did not differ between the 2 groups. CONCLUSIONS: EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system is technically feasible, straightforward, quick, and safe. John Wiley and Sons Inc. 2021-09-29 /pmc/articles/PMC8828169/ /pubmed/35310726 http://dx.doi.org/10.1002/deo2.56 Text en © 2021 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 Original Articles
Koga, Takehiko
Hijioka, Susumu
Nagashio, Yosikuni
Ohba, Akihiro
Maruki, Yuta
Yoshinari, Motohiro
Hisada, Yuya
Harai, Shota
Kitamura, Hidetoshi
Maehara, Kosuke
Murashima, Yumi
Kawasaki, Yuki
Kawahara, Shun
Takeshita, Kotaro
Yamada, Natsumi
Satake, Tomoyuki
Kondo, Shunsuke
Morizane, Chigusa
Ueno, Hideki
Okusaka, Takuji
Saito, Yutaka
Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation
title Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation
title_full Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation
title_fullStr Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation
title_full_unstemmed Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation
title_short Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation
title_sort endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐fr delivery system: comparison to a conventional procedure with fistula dilation
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828169/
https://www.ncbi.nlm.nih.gov/pubmed/35310726
http://dx.doi.org/10.1002/deo2.56
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