Endoscopic ultrasound-guided biliary intervention in patients with surgically altered anatomy

查看全文 作　　者：Aroon [1]Siripun;Pimsiri [2]Sripongpun;Bancha [1]Ovartlarnporn

机构地区：[1]NKC Institute of Gastroenterology and Hepatology, Faculty of Medicine, Prince of Songkla University;[2]Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2015年第7卷第3期,共7页

摘　　要：AIM: To evaluate the efficacy of endoscopic ultrasound guided biliary drainage(EUS-BD) in patients with surgically altered anatomies.METHODS: We performed a search of the MEDLINE database for studies published between 2001 to July2014 reporting on EUS-BD in patients with surgically altered anatomy using the terms 'EUS drainage' and 'altered anatomy'. All relevant articles were accessed in full text. A manual search of the reference lists of relevant retrieved articles was also performed. Only fulltext English papers were included. Data regarding age, gender, diagnosis, method of EUS-BD and intervention, type of altered anatomy, technical success, clinical success, and complications were extracted and collected. Anatomic alterations were categorized as: group 1, Billroth Ⅰ; group 2, Billroth Ⅱ; group 4, Rouxen-Y with gastric bypass; and group 3, all other types. RESULTS: Twenty three articles identified in the literature search, three reports were from the same group with different numbers of cases. In total, 101 cases of EUS-BD in patients with altered anatomy were identified. Twenty-seven cases had no information and were excluded. Seventy four cases were included for analysis. Data of EUS-BD in patients categorized as group 1, 2 and 4 were limited with 2, 3 and 6 cases with EUS-BD done respectively. Thirty four cases with EUS-BD were reported in group 3. The pooled technical success, clinical success, and complication rates of all reports with available data were 89.18%, 91.07% and 17.5%, respectively. The results are similar to the reported outcomes of EUS-BD in general, however, with limited data of EUS-BD in patients with altered anatomy rendered it difficult to draw a firm conclusion. CONCLUSION: EUS-BD may be an option for patients with altered anatomy after a failed endoscopic-retrogradecholangiography in centers with expertise in EUS-BD procedures in a research setting. 关键词：ENDOSCOPIC ULTRASOUND-GUIDED anterogradeapproach ENDOSCOPIC ULTRASOUND-GUIDED BILIARY drainage ENDOSCOPIC ULTRASOUND-GUIDED CHOLEDOCHODUODENOSTOMY ENDOSCOPIC ULTRASOUND-GUIDED hepaticogastrostomy ENDOSCOPIC ultrasound-rendezvous technique Surgicallyaltered ANATOMY Overtube-assisted enteroscopy-endoscopicretrograde cholangiopancreatography

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Endoscopic ultrasound-guided biliary intervention in patients with surgically altered anatomy

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