Endoscopic management of concomitant biliary and duodenal malignant obstruction: Impact of the timing of drainage for one . two procedures and the modalities of biliary drainage.

Background And Objectives: Concomitant biliary and duodenal malignant obstruction are a severe condition mainly managed by duodenal and biliary stenting, which can be performed simultaneously (SAMETIME) or in two distinct procedures (TWO-TIMES). We conducted a single-center retrospective study to evaluate the feasibility of a SAMETIME procedure and the impact of endoscopic ultrasound (EUS)-hepaticogastrostomy in double malignant obstructions.

Patients And Methods: From January 1, 2011, to January 1, 2018, patients with concomitant malignant bilioduodenal obstruction treated endoscopically were included.

Feasibility of EUS-guided hepaticogastrostomy for inoperable malignant hilar biliary strictures.

Background And Objectives: EUS-guided biliary drainage (EUS-BD) has emerged as a complementary technique for primary drainage or as a rescue technique after failed endoscopic retrograde cholangiography. The objective of this study was to demonstrate the feasibility of EUS-BD for malignant hilar stenosis (MHS), both as an initial and rescue procedure.

Patients And Methods: This study was a retrospective work based on a prospective registry of patients with malignant drainage stenosis of the hilum.

Endoscopic training: A nationwide survey of French fellows in gastroenterology.

Background: During their 4 years of training, French fellows in gastroenterology should acquire theoretical and practical competency in gastrointestinal (GI) endoscopy.

Aims: To evaluate the delivery of endoscopy training to French GI fellows and perception of learning.

Methods: A nationwide electronic survey was carried out of French GI fellows using an anonymous, 17-item electronic questionnaire.