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| http://dx.doi.org/10.1159/000530977 | DOI Listing |
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Redefining endoluminal biliary drainage: Challenges and innovations in endosonography-guided techniques.
World J Gastroenterol
January 2025
Department of Gastroenterology and Hepatology, Campus Virchow/Campus Mitte, Charité Berlin, Berlin 10117, Germany.
Endoscopic retrograde cholangiopancreatography is considered the gold standard for treating benign and malignant biliary obstructions. However, its use in complex biliary obstructions is limited. Over the past decades, therapeutic endosonography (EUS) and emerging technologies such as lumen-apposing metal stents have enabled endoscopic treatment of conditions previously requiring non-endoscopic or surgical approaches.
View Article and Find Full Text PDFHepaticoduodenostomy in Combined Endoscopic Ultrasound-Endoscopic Retrograde Cholangiopancreatography Biliary Drainage for Malignant Hilar Biliary Obstruction.
GE Port J Gastroenterol
April 2024
Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada EPER, Ponta Delgada, Portugal.
Transpapillary Stent By ERCP Combined With Hepaticoduodenostomy and Gallbladder Drainage for a Complex Hilar Malignant Obstruction.
Am J Gastroenterol
September 2023
Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge, Barcelona, Catalonia, Spain.
Endoscopic ultrasound-guided intervention for inaccessible papilla in advanced malignant hilar biliary obstruction.
Clin Endosc
March 2023
Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
Advanced malignant hilar biliary obstruction (MHBO) with inaccessible papilla poses a significant challenge to endoscopists, as drainage of multiple liver segments may be warranted. Transpapillary drainage may not be feasible in patients with surgically altered anatomy, duodenal stenosis, prior duodenal self-expanding metal stent, and after initial transpapillary drainage, but require re-intervention for draining separated liver segments. Endoscopic ultrasound-guided biliary drainage (EUS-BD) and percutaneous trans-hepatic biliary drainage are the feasible options in this scenario.
View Article and Find Full Text PDFPostoperative anastomotic stricture following excision of choledochal cyst: a systematic review and meta-analysis.
Pediatr Surg Int
December 2022
Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, Osaka, Japan.
Purpose: Postoperative anastomotic stricture (PAS) is a well-known complication after correcting choledochal cyst (CC). Although the exact cause of PAS is unknown, various risk factors, such as Todani classification type IV-A, hepaticoduodenostomy, and narrow anastomosis have been reported to be associated with PAS. As far as we know, there is no report with a cumulative analysis of such risk factors of PAS.
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