维普中文期刊产品整合服务

Different options of endosonography-guided biliary drainage after endoscopic retrograde cholangiopancreatography failure

查看全文 作　　者：JoséCelso [1]Ardengh;César Vivian [2]Lopes;Rafael [1]Kemp;Jose Sebastiao dos [1]Santos 高影响力作者 机构地区：[1]Division of Surgery and Anatomy,Ribeirao Preto Medical School,University of Sao Paulo,Ribeirao Preto,Sao Paulo 14049-900,Brazil;[2]Department of Gastroenterology and Digestive Endoscopy,Santa Casa Hospital,Porto Alegre 91410-000,Brazil高影响力机构 出　　处：《World Journal of Gastrointestinal Endoscopy》索引2018年第10卷第5期,共10页高影响力期刊 摘　　要：AIM To investigate the success rates of endosonography(EUS)-guided biliary drainage(EUS-BD) techniques after endoscopic retrograde cholangiopancreatography(ERCP) failure for management of biliary obstruction.METHODS From Feb/2010 to Dec/2016, ERCP was performed in 3538 patients, 24 of whom(0.68%) suffered failure to cannulate the biliary tree. All of these patients were initially submitted to EUS-guided rendez-vous(EUS-RV) by means of a transhepatic approach. In case of failure, the next approach was an EUS-guided anterograde stent insertion(EUS-ASI) or an EUS-guided hepaticogastrostomy(EUS-HG). If a transhepatic approach was not possible or a guidewire could not be passed through the papilla, EUS-guided choledochoduodenostomy(EUS-CD) was performed.RESULTS Patients were submitted to EUS-RV(7), EUS-ASI(5), EUS-HG(6), and EUS-CD(6). Success rates did not differ among the various EUS-BD techniques. Overall,technical and clinical success rates were 83.3% and 75%, respectively. Technical success for each technique was, 71.4%, 100%, 83.3%, and 83.3%, respectively(P = 0.81). Complications occurred in 3(12.5%) patients. All of these cases were managed conservatively, but one patient died after rescue percutaneous transhepatic biliary drainage(PTBD).CONCLUSION The choice of a particular EUS-BD technique should be based on patient's anatomy and on whether the guidewire could be passed through the duodenal papilla. 关 键 词：CHOLESTASIS Drainage ENDOSONOGRAPHY INTERVENTIONAL procedures JAUNDICE NEOPLASMS
相关文献

参考文献(32)

引证文献(3)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费