| Literature DB >> 25264761 |
Takeshi Ogura1, Tatsushi Sano1, Saori Onda1, Akira Imoto1, Daisuke Masuda1, Kazuhiro Yamamoto2, Masayuki Kitano3, Toshihisa Takeuchi1, Takuya Inoue1, Kazuhide Higuchi1.
Abstract
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. © Georg Thieme Verlag KG Stuttgart · New York.Entities:
Mesh：
Year: 2014 PMID： 25264761 DOI： 10.1055/s-0034-1378111
Source DB: PubMed Journal: Endoscopy ISSN： 0013-726X Impact factor: 10.093