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Endoscopic ultrasound-guided biliary drainage for right hepatic bile duct obstruction: novel technical tips.
- Source :
-
Endoscopy [Endoscopy] 2015 Jan; Vol. 47 (1), pp. 72-5. Date of Electronic Publication: 2014 Sep 29. - Publication Year :
- 2015
-
Abstract
- Endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) is not normally indicated for an obstructed right intrahepatic bile duct (IHBD). The technical feasibility and clinical efficacy of a novel technique of EUS-BD for right IHBD obstruction were evaluated. A total of 11 patients underwent drainage using either a left or a right biliary access route. The causes of obstructive jaundice were cholangiocarcinoma (n = 6), pancreatic cancer (n = 3), gastric cancer (n = 1), and colon cancer (n = 1). After placement of an uncovered metal stent to bridge the obstruction, a hepaticogastrostomy was completed using a covered stent. Mean procedure time was 33.9 ± 10.0 minutes. Technical and functional success were achieved in all patients, and no adverse events occurred. This novel method appears to be safe and effective for right IHBD obstruction.<br /> (© Georg Thieme Verlag KG Stuttgart · New York.)
Details
- Language :
- English
- ISSN :
- 1438-8812
- Volume :
- 47
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 25264761
- Full Text :
- https://doi.org/10.1055/s-0034-1378111