AI Article Synopsis
Article Abstract
Recently, endoscopic ultrasonography (EUS)-guided transhepatic antegrade interventions have been introduced in patients with a surgically altered anatomy. Herein, we focused on and reviewed EUS-guided transhepatic antegrade stone removal (EUS-TASR) in patients with a surgically altered anatomy and native papilla. The basic technique of EUS-TASR involves the following steps: (1) EUS-guided needle puncture; (2) guidewire placement; (3) tract dilation; (4) balloon sphincteroplasty; (5) stone removal; and (6) stent placement if needed. Based on reports in the literature including our cases, the complete stone extraction rate is 71.4% (10/14) including five of our cases (60% success rate) at one session without serious complications. In conclusion, EUS-TASR appears to be feasible and useful in selected patients although its application may be limited depending on anatomical factors and current devices used.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/jhbp.165 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Percutaneous transhepatic arterial access for coil embolization of hepatic artery infusion pump-associated bleeding.
CVIR Endovasc
January 2025
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Background: Hepatic artery infusion pump (HAIP) chemotherapy is a locoregional treatment for intrahepatic malignancies. HAIPs are surgically implanted, and the catheter tip is typically inserted into a ligated gastroduodenal artery stump. Potential complications at the catheter insertion site include dehiscence, pseudoaneurysm or extravasation, and adjacent hepatic arterial stenosis and thrombosis.
View Article and Find Full Text PDFStomal variceal haemorrhage in ileal conduit diversion: a rare case report and literature review.
Front Oncol
October 2024
Department of Urology, The First Affiliated Hospital, Zhejiang University School of Medicine Hangzhou, Zhejiang, China.
Background: Radical cystectomy is typically recommended for managing bladder cancer, with ileal conduit diversion being a prevalent form of urinary diversion. Stomal variceal haemorrhage is a rare complication of ileal bladder diversion and poses diagnostic and therapeutic challenges that can escalate to life-threatening circumstances. Hepatic cirrhosis and cancer liver metastasis-induced portal hypertension are considered the main causes of stomal varices.
View Article and Find Full Text PDFTranshepatic Antegrade Gastric Variceal Sclerotherapy: Comparing Outcomes with and without Initial Efferent Vein Embolization.
J Vasc Interv Radiol
January 2025
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Article Synopsis
- The study aimed to compare the effectiveness of two techniques—percutaneous transhepatic obliteration with initial afferent vein embolization (PTO-A) and initial efferent vein embolization (PTO-E)—for treating gastric varices (GVs).
- 26 patients with type 1 or type 2 gastric varices were treated, with positive outcomes seen in both methods; however, PTO-E demonstrated a significantly higher complete eradication rate (100% vs. 33.3%).
- Patients who underwent PTO-E also experienced a longer median recurrence-free period (75.1 months) compared to those who had PTO-A (8.7 months), although overall survival rates were similar for both groups.
Simplified single-session EUS-guided transhepatic antegrade stone removal for management of choledocholithiasis in patients with surgically altered anatomy.
Gastroenterol Rep (Oxf)
June 2024
The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P. R. China.
Background: Endoscopic ultrasound (EUS)-guided transhepatic antegrade stone removal (TASR) has been reserved for choledocholithiasis after failed endoscopic retrograde cholangiopancreatography (ERCP) in recent years. The aim of this study was to evaluate the techniques, feasibility, and safety of simplified single-session EUS-TASR for choledocholithiasis in patients with surgically altered anatomy (SAA).
Methods: A retrospective database of patients with SAA and choledocholithiasis from the Second Hospital of Hebei Medical University (Shijiazhuang, China) between August 2020 and February 2023 was performed.
Endoscopic Ultrasound-Guided Biliary Drainage (EUS-BD).
Gastrointest Endosc Clin N Am
July 2024
Hackensack University Medical Center, Hackensack, NJ, USA. Electronic address:
Endoscopic ultrasound (EUS)-guided biliary drainage (BD) is a minimally invasive procedure that allows for biliary access when conventional endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful. The technique can be divided based on biliary access route: intrahepatic or extrahepatic, as well as on stenting approach: rendezvous approach (EUS-RV), antegrade placement, or transluminal (intra or extra hepatic) placement. There is no clear consensus on which approach is superior.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!