Safety and efficacy of novel oblique-viewing scope for B2-endoscopic ultrasound-guided hepaticogastrostomy
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background/Aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) performed at the intrahepatic bile ductsegment 3 (B3) is widely used for biliary drainage. Although performing post-puncture procedures is easier in the intrahepatic bileduct segment 2 (B2) when using a conventional oblique-viewing (OV) EUS scope, this method may cause transesophageal punctureand severe adverse events. We evaluated the safety and efficacy of B2 puncture using a novel OV-EUS scope. Methods: In this single-center retrospective study, we prospectively enrolled and collected data from 45 patients who consecutively underwentEUS-HGS procedures with a novel OV-EUS scope between September 2021 and December 2022 at our cancer center. Results: The technical success rates of B2-EUS-HGS and EUS-HGS were 93.3% (42/45) and 97.8% (44/45), respectively. The early adverseevent rate was 8.9% (4/45) with no cases of scope changes or transesophageal punctures. The median procedure time was 13 minutes(range, 5–30). Conclusions: B2-EUS-HGS can be performed safely with the novel EG-740UT (Fujifilm) OV-scope without transesophageal punctureand with a high success rate. B2-EUS-HGS using this novel OV scope may be the preferred strategy for EUS-HGS.
Abstract
Background/Aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) performed at the intrahepatic bile ductsegment 3 (B3) is widely used for biliary drainage. Although performing post-puncture procedures is easier in the intrahepatic bileduct segment 2 (B2) when using a conventional oblique-viewing (OV) EUS scope, this method may cause transesophageal punctureand severe adverse events. We evaluated the safety and efficacy of B2 puncture using a novel OV-EUS scope. Methods: In this single-center retrospective study, we prospectively enrolled and collected data from 45 patients who consecutively underwentEUS-HGS procedures with a novel OV-EUS scope between September 2021 and December 2022 at our cancer center. Results: The technical success rates of B2-EUS-HGS and EUS-HGS were 93.3% (42/45) and 97.8% (44/45), respectively. The early adverseevent rate was 8.9% (4/45) with no cases of scope changes or transesophageal punctures. The median procedure time was 13 minutes(range, 5–30). Conclusions: B2-EUS-HGS can be performed safely with the novel EG-740UT (Fujifilm) OV-scope without transesophageal punctureand with a high success rate. B2-EUS-HGS using this novel OV scope may be the preferred strategy for EUS-HGS.
참고문헌 (19)
- Hara K, "Endoscopic ultrasonography-guided biliary drainage : who, when, which, and how?", World J Gastroenterol, 22, pp.1297~1303 (2016)
- Okuno N, "Efficacy of the 6-mm fully covered self-expandable metal stent during endoscopic ultrasound-guided hepaticogastrostomy as a primary biliary drainage for the cases estimated difficult endoscopic retrograde cholangiopancreatography : a prospective clinical study", J Gastroenterol Hepatol, 33, pp.1413~1421 (2018)
- Matsubara S, "Practical tips for safe and successful endoscopic ultrasound-guided hepaticogastrostomy : a state-of-the-art technical review", J Clin Med, 11, pp.1591~ (2022)
- Pawa R, "Endoscopic ultrasound-guided biliary drainage : are we there yet?", World J Gastrointest Endosc, 13, pp.302~318 (2021)
- Vila JJ, "Initial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage : a Spanish national survey", Gastrointest Endosc, 76, pp.1133~1141 (2012)
- Oh D, "Optimal biliary access point and learning curve for endoscopic ultrasound-guided hepaticogastrostomy with transmural stenting", Therap Adv Gastroenterol, 10, pp.42~ (2017)
- Isayama H, "Clinical practice guidelines for safe performance of endoscopic ultrasound", ultrasonography-guided biliary drainage : 2018, 2019, pp.26, 249~269
- Matsumoto S, "Risk factor analysis for adverse events and stent dysfunction of endoscopic ultrasound-guided choledochoduodenostomy", Dig Endosc, 32, pp.957~966 (2020)
- Hara K, "How to perform EUS-guided hepaticogastrostomy easier and safer", J Hepatobiliary Pancreat Sci, 27, pp.563~564 (2020)
- Sekine M, "A retrospective multicenter study comparing the punctures to B2 and B3 in endoscopic ultrasound-guided hepaticogastrostomy", DEN Open, 3, pp.e201~ (2023)
- Okuno N, "B2 puncture with forward-viewing EUS simplifies EUS-guided hepaticogastrostomy(with video)", Endosc Ultrasound, 11, pp.319~324 (2022)
- Tsuchiya T, "Endoscopic ultrasonography-guided rendezvous technique", Dig Endosc, 28(Suppl 1), pp.96~101 (2016)
- Okuno N, "Risks of transesophageal endoscopic ultrasonography-guided biliary drainage", Gastrointest Interv, 6, pp.82~84 (2017)
- Ogura T, "Technical tips and recent development of endoscopic ultrasound-guided choledochoduodenostomy", DEN Open, 1, pp.e8~ (2021)
- Samanta J, "EUS-guided biliary drainage in patients with moderate-severe cholangitis is safe and effective : a multi-center experience", Surg Endosc, 37, pp.298~308 (2023)
- Okuno N, "Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites", Gastrointest Interv, 7, pp.40~43 (2018)
- Okuno N, "Stent migration into the peritoneal cavity following endoscopic ultrasound-guided hepaticogastrostomy", Endoscopy, 47(Suppl 1 UCTN), pp.E311~ (2015)
- Cotton PB, "A lexicon for endoscopic adverse events : report of an ASGE workshop", Gastrointest Endosc, 71, pp.446~454 (2010)
- Dell’Anna G, "Endoscopic ultrasound guided biliary interventions", Best Pract Res Clin Gastroenterol, 60-61, pp.101810~ (2022)