| Literature DB >> 23338620 |
K Hara1, K Yamao, S Hijioka, N Mizuno, H Imaoka, M Tajika, S Kondo, T Tanaka, S Haba, O Takeshi, Y Nagashio, T Obayashi, A Shinagawa, V Bhatia, Y Shimizu, H Goto, Y Niwa.
Abstract
A prospective clinical study was conducted to evaluate the safety, feasibility, and efficacy of endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDS) with direct metallic stent placement using a prototype forward-viewing echoendoscope. The indication for EUS - CDS in this study was lower biliary obstruction only, and not failed endoscopic biliary drainage, because the aim was to evaluate EUS - CDS for first-line biliary drainage therapy. The technical and functional success rates were 94 % (17 /18) and 94 % (16 /17), respectively. Early complications (focal peritonitis) were encountered in two patients (11 %). No patients developed late complications. EUS - CDS with direct metallic stent placement using a forward-viewing echoendoscope was generally feasible and effective for malignant distal biliary tract obstruction. The forward-viewing echoendoscope was useful, especially for deploying the metallic stent. © Georg Thieme Verlag KG Stuttgart · New York.Entities:
Mesh：
Year: 2013 PMID： 23338620 DOI： 10.1055/s-0032-1326076
Source DB: PubMed Journal: Endoscopy ISSN： 0013-726X Impact factor: 10.093