PDF herunterladen
Endoscopy 2015; 47(01): 72-75
DOI: 10.1055/s-0034-1378111
Case series
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic ultrasound-guided biliary drainage for right hepatic bile duct obstruction: novel technical tips

Takeshi Ogura
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
,
Tatsushi Sano
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
,
Saori Onda
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
,
Akira Imoto
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
,
Daisuke Masuda
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
,
Kazuhiro Yamamoto
2   Department of Radiology, Osaka Medical College, Osaka, Japan
,
Masayuki Kitano
3   Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine, Osaka-Sayama, Japan
,
Toshihisa Takeuchi
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
,
Takuya Inoue
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
,
Kazuhide Higuchi
1   2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan
› Institutsangaben
Weitere Informationen

Publikationsverlauf

submitted 26. Mai 2014

accepted after revision 04. August 2014

Publikationsdatum:
29. September 2014 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) is not normally indicated for an obstructed right intrahepatic bile duct (IHBD). The technical feasibility and clinical efficacy of a novel technique of EUS-BD for right IHBD obstruction were evaluated. A total of 11 patients underwent drainage using either a left or a right biliary access route. The causes of obstructive jaundice were cholangiocarcinoma (n = 6), pancreatic cancer (n = 3), gastric cancer (n = 1), and colon cancer (n = 1). After placement of an uncovered metal stent to bridge the obstruction, a hepaticogastrostomy was completed using a covered stent. Mean procedure time was 33.9 ± 10.0 minutes. Technical and functional success were achieved in all patients, and no adverse events occurred. This novel method appears to be safe and effective for right IHBD obstruction.

 

  • References

  • 1 Fogel EL, Sherman S, Devereaux BM et al. Therapeutic biliary endoscopy. Endoscopy 2001; 33: 31-38
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 2 Itoi T, Isayama H, Sofuni A et al. Stent selection and tips on placement technique of EUS-guided biliary drainage: transduodenal and trans gastric stenting. J Hapatobiliary Pancreatic Sci 2011; 18: 664-672
    PubMedGoogle Scholar
  • 3 Park SJ, Choi JH, Park do H et al. Expanding indication: EUS-guided hepaticoduodenostomy for isolated right intrahepatic duct obstruction (with video). Gastrointest Endosc 2013; 78: 374-380
    CrossrefPubMedGoogle Scholar
  • 4 Ogura T, Kurisu Y, Masuda D et al. A novel method of EUS-guided hepaticogastrostomy to prevent stent dysfunction. J Gastroenterol Hepatol In press 2014; Doi: DOI: 10.1111/jgh.12598. [Epub ahead of print]
    PubMedGoogle Scholar
  • 5 Sarkaria S, Sundarajan S, Kahaleh M. Endoscopic ultrasonograhic access and drainage of the common bile duct. Gastrointest Endosc Clin N Am 2013; 23: 435-452
    CrossrefPubMedGoogle Scholar
  • 6 Kawakubo K, Isayama H, Kato H et al. Multicenter retrospective study of ultrasound-guided biliary drainage for malignant biliary obstruction in Japan. J Hepatobilliary Pancreat Sci 2014; 21: 328-334
    PubMedGoogle Scholar
  • 7 Park DH, Koo JE, Oh J et al. EUS-guided biliary drainage with one-step placement of a fully covered metal stent for malignant biliary obstruction: a prospective feasibility study. Am J Gastroneterol 2009; 104: 2168-2174
    PubMedGoogle Scholar