Cargando…

Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla

Background/Aims: Endoscopic management by endoscopic sphincterotomy with or without plastic stents or fully covered self-expandable metallic stents (FCSEMSs) is widely accepted as the current standard of care for postoperative bile leaks. Biliary stents are placed across the papilla, not above the p...

Descripción completa

Detalles Bibliográficos
Autores principales: Fukuda, Koshiro, Nakai, Yousuke, Mizuno, Suguru, Sato, Tatsuya, Noguchi, Kensaku, Kanai, Sachiko, Suzuki, Tatsunori, Hakuta, Ryunosuke, Ishigaki, Kazunaga, Saito, Kei, Saito, Tomotaka, Takahara, Naminatsu, Hamada, Tsuyoshi, Kogure, Hirofumi, Fujishiro, Mitsuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604735/
https://www.ncbi.nlm.nih.gov/pubmed/36294340
http://dx.doi.org/10.3390/jcm11206019
_version_ 1784817889374633984
author Fukuda, Koshiro
Nakai, Yousuke
Mizuno, Suguru
Sato, Tatsuya
Noguchi, Kensaku
Kanai, Sachiko
Suzuki, Tatsunori
Hakuta, Ryunosuke
Ishigaki, Kazunaga
Saito, Kei
Saito, Tomotaka
Takahara, Naminatsu
Hamada, Tsuyoshi
Kogure, Hirofumi
Fujishiro, Mitsuhiro
author_facet Fukuda, Koshiro
Nakai, Yousuke
Mizuno, Suguru
Sato, Tatsuya
Noguchi, Kensaku
Kanai, Sachiko
Suzuki, Tatsunori
Hakuta, Ryunosuke
Ishigaki, Kazunaga
Saito, Kei
Saito, Tomotaka
Takahara, Naminatsu
Hamada, Tsuyoshi
Kogure, Hirofumi
Fujishiro, Mitsuhiro
author_sort Fukuda, Koshiro
collection PubMed
description Background/Aims: Endoscopic management by endoscopic sphincterotomy with or without plastic stents or fully covered self-expandable metallic stents (FCSEMSs) is widely accepted as the current standard of care for postoperative bile leaks. Biliary stents are placed across the papilla, not above the papilla. We investigated the safety and effectiveness of the bridge-and-seal technique for bile leaks by the placement of FCSEMS above the papilla. Methods: This was a retrospective study of FCSEMS placement above the papilla for bile leaks between October 2016 and July 2021. FCSEMS was placed above the papilla to bridge and seal the leak. The main outcome measures were the resolution of bile leaks and adverse events. Results: Seven patients with postoperative bile leaks underwent FCSEMS above the papilla. The locations of bile leaks were 1 cystic duct remnant; 2 intrahepatic bile duct; 1 hepatic duct; 2 common bile duct and 1 anastomosis. The technical success rate of FCSEMS placement was 100%, and resolution of bile leaks was achieved in five patients (71.4%). All the adverse events were observed after FCSEMS removal; as follows: 1 moderate cholangitis; 2 mild post-ERCP pancreatitis; and 1 mild remnant cholecystitis. Conclusions: FCSEMS placement above the papilla can be a treatment option for postoperative bile leaks.
format Online
Article
Text
id pubmed-9604735
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96047352022-10-27 Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla Fukuda, Koshiro Nakai, Yousuke Mizuno, Suguru Sato, Tatsuya Noguchi, Kensaku Kanai, Sachiko Suzuki, Tatsunori Hakuta, Ryunosuke Ishigaki, Kazunaga Saito, Kei Saito, Tomotaka Takahara, Naminatsu Hamada, Tsuyoshi Kogure, Hirofumi Fujishiro, Mitsuhiro J Clin Med Communication Background/Aims: Endoscopic management by endoscopic sphincterotomy with or without plastic stents or fully covered self-expandable metallic stents (FCSEMSs) is widely accepted as the current standard of care for postoperative bile leaks. Biliary stents are placed across the papilla, not above the papilla. We investigated the safety and effectiveness of the bridge-and-seal technique for bile leaks by the placement of FCSEMS above the papilla. Methods: This was a retrospective study of FCSEMS placement above the papilla for bile leaks between October 2016 and July 2021. FCSEMS was placed above the papilla to bridge and seal the leak. The main outcome measures were the resolution of bile leaks and adverse events. Results: Seven patients with postoperative bile leaks underwent FCSEMS above the papilla. The locations of bile leaks were 1 cystic duct remnant; 2 intrahepatic bile duct; 1 hepatic duct; 2 common bile duct and 1 anastomosis. The technical success rate of FCSEMS placement was 100%, and resolution of bile leaks was achieved in five patients (71.4%). All the adverse events were observed after FCSEMS removal; as follows: 1 moderate cholangitis; 2 mild post-ERCP pancreatitis; and 1 mild remnant cholecystitis. Conclusions: FCSEMS placement above the papilla can be a treatment option for postoperative bile leaks. MDPI 2022-10-12 /pmc/articles/PMC9604735/ /pubmed/36294340 http://dx.doi.org/10.3390/jcm11206019 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Fukuda, Koshiro
Nakai, Yousuke
Mizuno, Suguru
Sato, Tatsuya
Noguchi, Kensaku
Kanai, Sachiko
Suzuki, Tatsunori
Hakuta, Ryunosuke
Ishigaki, Kazunaga
Saito, Kei
Saito, Tomotaka
Takahara, Naminatsu
Hamada, Tsuyoshi
Kogure, Hirofumi
Fujishiro, Mitsuhiro
Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla
title Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla
title_full Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla
title_fullStr Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla
title_full_unstemmed Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla
title_short Endoscopic Bridge-and-Seal of Bile Leaks Using a Fully Covered Self-Expandable Metallic Stent above the Papilla
title_sort endoscopic bridge-and-seal of bile leaks using a fully covered self-expandable metallic stent above the papilla
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604735/
https://www.ncbi.nlm.nih.gov/pubmed/36294340
http://dx.doi.org/10.3390/jcm11206019
work_keys_str_mv AT fukudakoshiro endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT nakaiyousuke endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT mizunosuguru endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT satotatsuya endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT noguchikensaku endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT kanaisachiko endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT suzukitatsunori endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT hakutaryunosuke endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT ishigakikazunaga endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT saitokei endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT saitotomotaka endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT takaharanaminatsu endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT hamadatsuyoshi endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT kogurehirofumi endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla
AT fujishiromitsuhiro endoscopicbridgeandsealofbileleaksusingafullycoveredselfexpandablemetallicstentabovethepapilla