PURPOSE: Although EUS-guided hepaticogastrostomy (EUS-HGS) with a covered self-expandable metal stent (SEMS) is a useful procedure, it is associated with severe adverse events, including stent migration. We, therefore, developed an intra-conduit release method, and investigated whether the technique yields a safer and more stable procedure. METHODS: The intra-conduit release method is a procedure to release the SEMS in the working channel conduit of the scope for anchoring between the liver and stomach to avoid stent migration. Forty-three patients who underwent EUS-HGS at two high-volume centers in Japan were enrolled in this retrospective study, and the safety and usefulness of this method were evaluated retrospectively. RESULTS: The intra-conduit release method was applied in 36 cases. The technical success rate of EUS-HGS with the intra-conduit release method was significantly higher in comparison with the conventional method. Additionally, the rate of early adverse events was significantly lower than that for the conventional method. CONCLUSION: The intra-conduit release method during EUS-HGS is useful for a stable procedure that avoids early adverse events.
PURPOSE: Although EUS-guided hepaticogastrostomy (EUS-HGS) with a covered self-expandable metal stent (SEMS) is a useful procedure, it is associated with severe adverse events, including stent migration. We, therefore, developed an intra-conduit release method, and investigated whether the technique yields a safer and more stable procedure. METHODS: The intra-conduit release method is a procedure to release the SEMS in the working channel conduit of the scope for anchoring between the liver and stomach to avoid stent migration. Forty-three patients who underwent EUS-HGS at two high-volume centers in Japan were enrolled in this retrospective study, and the safety and usefulness of this method were evaluated retrospectively. RESULTS: The intra-conduit release method was applied in 36 cases. The technical success rate of EUS-HGS with the intra-conduit release method was significantly higher in comparison with the conventional method. Additionally, the rate of early adverse events was significantly lower than that for the conventional method. CONCLUSION: The intra-conduit release method during EUS-HGS is useful for a stable procedure that avoids early adverse events.
Authors: Juan J Vila; Manuel Pérez-Miranda; Enrique Vazquez-Sequeiros; Monder Abu-Suboh Abadia; Antonio Pérez-Millán; Ferrán González-Huix; Joan Gornals; Julio Iglesias-Garcia; Carlos De la Serna; José R Aparicio; José C Subtil; Alberto Alvarez; Felipe de la Morena; Jesús García-Cano; María A Casi; Angel Lancho; Angel Barturen; Santiago J Rodríguez-Gómez; Alejandro Repiso; Diego Juzgado; Francisco Igea; Ignacio Fernandez-Urien; Juan A González-Martin; José R Armengol-Miró Journal: Gastrointest Endosc Date: 2012-09-26 Impact factor: 9.427
Authors: Do Hyun Park; Ji Woong Jang; Sang Soo Lee; Dong-Wan Seo; Sung Koo Lee; Myung-Hwan Kim Journal: Gastrointest Endosc Date: 2011-10-01 Impact factor: 9.427
Authors: Do Hyun Park; Seung Uk Jeong; Byung Uk Lee; Sang Soo Lee; Dong-Wan Seo; Sung Koo Lee; Myung-Hwan Kim Journal: Gastrointest Endosc Date: 2013-03-21 Impact factor: 9.427