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Endoscopic ultrasound-guided biliary drainage using a lumen-apposing self-expanding metal stent: a case series.
Endoscopy
September 2015
Medical Department 1, University Hospital Dresden, Technical University Dresden (TUD), Dresden, Germany.
Endoscopic ultrasound-guided biliary drainage (EUS-BD) might be an alternative to percutaneous or transpapillary biliary drainage in unresectable pancreatic or biliary cancer. A lumen-apposing, fully covered, self-expanding metal stent, which creates a sealed transluminal conduit between the biliary and gastrointestinal tract may offer advantages over conventional plastic and metal stents. In this retrospective, observational, open-label case study, five patients underwent EUS-BD for obstructive jaundice in pancreatic cancer (n = 4) or distal cholangiocarcinoma (n = 1).
View Article and Find Full Text PDFGastric perforation related to a transgastric biliary drainage procedure with endoscopic Rendez-Vous technique.
Rev Gastroenterol Mex
June 2014
Endoscopy Unit, Gastroenterology Dpt., Complejo Hospitalario de Navarra, Pamplona, Spain.
Endoscopic ultrasound-guided bilio-pancreatic drainage (EBPD) has become an endoscopic alternative to percutaneous biliary drainage for patients with unsuccessful transpapillary approach. EBPD has a significant complication rate and expertise in advanced therapeutical endoscopy and endosonography are required. We present a 43 year-old male with pancreatic head adenocarcinoma, who after underwent a transgastric endoscopic rendez-vous technique, a gastric wall perforation at the fistula location was detected.
View Article and Find Full Text PDFTranspapillary sealing of a pancreatic fistula with Onyx.
Gastrointest Endosc
June 2006
Abt. Innere Medizin I, Medizinische Universitätsklinik Regensburg, Regensburg, Germany.
Aggressive endoscopic therapy for pancreatic necrosis and pancreatic abscess: a new safe and effective treatment algorithm (videos).
Gastrointest Endosc
July 2005
Department of Interdisciplinary Endoscopy, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germay.
Background: Pancreatic necrosis and pancreatic abscess are severe complications of acute pancreatitis. Surgery is associated with significant morbidity and mortality in these critically ill patients. Endoscopic therapy has the potential to offer a safer and more effective alternative treatment modality.
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