AI Article Synopsis
- EUS-guided hepaticogastrostomy (EUS-HGS) is becoming a trusted method for biliary drainage in patients who can’t have traditional procedures, but some new devices aren't approved in Western countries yet.
- The article provides a detailed and technical review of EUS-HGS, addressing clinical aspects and featuring a video that showcases tips for overcoming common challenges during the procedure.
- It emphasizes important steps such as site selection, biliary puncture, and stent placement to help Western endoscopists improve their skills and patient outcomes.
Article Abstract
Background And Aims: EUS-guided hepaticogastrostomy (EUS-HGS) has gained traction as a reliable and safe method for definitive biliary drainage in patients who cannot undergo traditional transampullary procedures. Many of the newly developed single-stage devices are not yet approved for clinical use in Western practice.
Methods: We highlight key clinical and technical aspects of EUS-HGS using devices that are currently available in Western countries. The article is a comprehensive step-by-step technical review of EUS-HGS, and the video demonstrates high-level tips to overcome commonly encountered procedural challenges.
Results: Patients with biliary obstruction underwent EUS-HGS at our center. The technical difficulties that were encountered are highlighted in the article and the accompanying video. The article and video provide a detailed review of (1) preprocedural considerations, (2) puncture site selection, (3) biliary puncture, (4) contrast injection, (5) guidewire manipulation, (6) tract dilation, and (7) stent placement.
Conclusion: An understanding and implementation of the technical nuances highlighted in this article should help Western endoscopists navigate the complexities of EUS-HGS and ensure optimal outcomes.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489514 | PMC |
| http://dx.doi.org/10.1016/j.vgie.2024.05.015 | DOI Listing |
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Article Synopsis
- EUS-guided hepaticogastrostomy (EUS-HGS) is becoming a trusted method for biliary drainage in patients who can’t have traditional procedures, but some new devices aren't approved in Western countries yet.
- The article provides a detailed and technical review of EUS-HGS, addressing clinical aspects and featuring a video that showcases tips for overcoming common challenges during the procedure.
- It emphasizes important steps such as site selection, biliary puncture, and stent placement to help Western endoscopists improve their skills and patient outcomes.
Article Synopsis
- The text talks about a medical study comparing two procedures for patients who have both bile duct and stomach blockages at the same time.
- In the study, 20 patients were treated, and it showed that one procedure (EUS-CDS) had more problems and shorter time without issues compared to the other procedure (EUS-HGS).
- The results suggest that EUS-CDS may not be as good as EUS-HGS for these patients because it can lead to more complications and less chance of staying healthy longer without issues.
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