Safety of endoscopic ultrasound-guided hepaticogastrostomy in patients with malignant biliary obstruction and ascites
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background/Aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) is useful for patients with biliary cannulation failure or inaccessible papillae. However, it can lead to serious complications such as bile peritonitis in patients with ascites; therefore, development of a safe method to perform EUS-HGS is important. Herein, we evaluated the safety of EUS-HGS with continuous ascitic fluid drainage in patients with ascites. Methods: Patients with moderate or severe ascites who underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after the procedure at our institution between April 2015 and December 2022, were included in the study. We evaluated the technical and clinical success rates, EUS-HGS-related complications, and feasibility of re-intervention. Results: Ten patients underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after completion of the procedure. Median duration of ascites drainage before and after EUS-HGS was 2 and 4 days, respectively. Technical success with EUS-HGS was achieved in all 10 patients (100%). Clinical success with EUS-HGS was achieved in 9 of the 10 patients (90%). No endoscopic complications such as bile peritonitis were observed. Conclusions: In patients with ascites, continuous ascites drainage, which is initiated before EUS-HGS and terminated after completion of the procedure, may prevent complications and allow safe performance of EUS-HGS.
Abstract
Background/Aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) is useful for patients with biliary cannulation failure or inaccessible papillae. However, it can lead to serious complications such as bile peritonitis in patients with ascites; therefore, development of a safe method to perform EUS-HGS is important. Herein, we evaluated the safety of EUS-HGS with continuous ascitic fluid drainage in patients with ascites. Methods: Patients with moderate or severe ascites who underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after the procedure at our institution between April 2015 and December 2022, were included in the study. We evaluated the technical and clinical success rates, EUS-HGS-related complications, and feasibility of re-intervention. Results: Ten patients underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after completion of the procedure. Median duration of ascites drainage before and after EUS-HGS was 2 and 4 days, respectively. Technical success with EUS-HGS was achieved in all 10 patients (100%). Clinical success with EUS-HGS was achieved in 9 of the 10 patients (90%). No endoscopic complications such as bile peritonitis were observed. Conclusions: In patients with ascites, continuous ascites drainage, which is initiated before EUS-HGS and terminated after completion of the procedure, may prevent complications and allow safe performance of EUS-HGS.
참고문헌 (29)
- Sharaiha RZ, "Endoscopic ultrasound-guided biliary drainage versus percutaneous transhepatic biliary drainage : predictors of successful outcome in patients who fail endoscopic retrograde cholangiopancreatography", Surg Endosc, 30, pp.5500~5505 (2016)
- Lee TH, "Similar efficacies of endoscopic ultrasound-guided transmural and percutaneous drainage for malignant distal biliary obstruction", Clin Gastroenterol Hepatol, 14, pp.1011~1019 (2016)
- Sharaiha RZ, "Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails : a systematic review and meta-analysis", Gastrointest Endosc, 85, pp.904~914 (2017)
- Nakai Y, "Endoscopic ultrasound-guided biliary drainage for benign biliary diseases", Clin Endosc, 52, pp.212~219 (2019)
- Giovannini M, "Endoscopic ultrasound-guided bilioduodenal anastomosis : a new technique for biliary drainage", Endoscopy, 33, pp.898~900 (2001)
- Kawakubo K, "Multicenter retrospective study of endoscopic ultrasound-guided biliary drainage for malignant biliary obstruction in Japan", J Hepatobiliary Pancreat Sci, 21, pp.328~334 (2014)
- Bang JY, "Stent placement by EUS or ERCP for primary biliary decompression in pancreatic cancer : a randomized trial(with videos)", Gastrointest Endosc, 88, pp.9~17 (2018)
- Paik WH, "EUS-guided biliary drainage versus ERCP for the primary palliation of malignant biliary obstruction : a multicenter randomized clinical trial", Am J Gastroenterol, 113, pp.987~997 (2018)
- Park JK, "Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction : prospective randomized controlled study", Gastrointest Endosc, 88, pp.277~282 (2018)
- Isayama H, "Clinical practice guidelines for safe performance of endoscopic ultrasound", ultrasonography-guided biliary drainage : 2018, 2019, pp.26, 249~269
- Hamada T, "Transmural biliary drainage can be an alternative to transpapillary drainage in patients with an indwelling duodenal stent", Dig Dis Sci, 59, pp.1931~1938 (2014)
- Khashab MA, "EUS-guided biliary drainage or enteroscopy-assisted ERCP in patients with surgical anatomy and biliary obstruction : an international comparative study", Endosc Int Open, 4, pp.E1322~E1327 (2016)
- Nakai Y, "Endoscopic ultrasound-guided biliary drainage for unresectable hilar malignant biliary obstruction", Clin Endosc, 52, pp.220~225 (2019)
- Kongkam P, "Combination of endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography-guided biliary drainage in malignant hilar biliary obstruction", Dig Endosc, 31(Suppl 1), pp.50~54 (2019)
- Poincloux L, "Endoscopic ultrasound-guided biliary drainage after failed ERCP : cumulative experience of 101 procedures at a single center", Endoscopy, 47, pp.794~801 (2015)
- Paik WH, "Outcomes and limitations : EUS-guided hepaticogastrostomy", Endosc Ultrasound, 8(Suppl 1), pp.S44~S49 (2019)
- Martins FP, "Migration of a covered metallic stent following endoscopic ultrasound-guided hepaticogastrostomy : fatal complication", Endoscopy, 42(Suppl 2), pp.E126~E127 (2010)
- Prachayakul V, "Bleeding left hepatic artery pseudoaneurysm : a complication of endoscopic ultrasound-guided hepaticogastrostomy", Endoscopy, 45(Suppl 2 UCTN), pp.E223~E224 (2013)
- Nakajima TE, "Randomized phase II", III study of 5-fluorouracil, l-leucovorin plus paclitaxel administered to patients with severe peritoneal metastases of gastric cancer(JCOG1108, pp.WJOG7312G), Gastric Cancer[DOI]
- Hara H, "First-line bolus 5-fluorouracil plus leucovorin for peritoneally disseminated gastric cancer with massive ascites or inadequate oral intake", Int J Clin Oncol, 23, pp.275~280 (2018)
- Cotton PB, "A lexicon for endoscopic adverse events : report of an ASGE workshop", Gastrointest Endosc, 71, pp.446~454 (2010)
- Maranki J, "Interventional endoscopic ultrasound-guided cholangiography : long-term experience of an emerging alternative to percutaneous transhepatic cholangiography", Endoscopy, 41, pp.532~538 (2009)
- Chantarojanasiri T, "What you need to know before performing endoscopic ultrasound-guided hepaticogastrostomy", Clin Endosc, 54, pp.301~308 (2021)
- Ogura T, "Technical tips for endoscopic ultrasound-guided hepaticogastrostomy", World J Gastroenterol, 22, pp.3945~3951 (2016)
- Sportes A, "Endoscopic ultrasound-guided hepaticogastrostomy versus percutaneous transhepatic drainage for malignant biliary obstruction after failed endoscopic retrograde cholangiopancreatography : a retrospective expertise-based study from two centers", Therap Adv Gastroenterol, 10, pp.483~493 (2017)
- Marx M, "EUS-guided hepaticogastrostomy in the management of malignant biliary obstruction : Experience and learning curve in a tertiary referral center", Dig Liver Dis, 54, pp.1236~1242 (2022)
- Okuno N, "Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites", Gastrointest Interv, 7, pp.40~43 (2018)
- Ogura T, "Stent length is impact factor associated with stent patency in endoscopic ultrasound-guided hepaticogastrostomy", J Gastroenterol Hepatol, 30, pp.1748~1752 (2015)
- Okuno N, "Stent migration into the peritoneal cavity following endoscopic ultrasound-guided hepaticogastrostomy", Endoscopy, 47(Suppl 1 UCTN), pp.E311~ (2015)