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Role of interventional endoscopic ultrasound in a developing country

Maulahela H, Annisa NG, Fauzi A, Renaldi K, Abdullah M, Simadibrata M, Makmun D, Syam AF

Background/Aims: Endoscopic ultrasound (EUS) has become an essential diagnostic and therapeutic tool. EUS was introduced in 2013 in Indonesia and is considered relatively new. This study aimed to describe the...
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Comparison of Bilateral and Trisegment Drainage in Patients with High-Grade Hilar Malignant Biliary Obstruction: A Multicenter Retrospective Study

Matsumoto K, Kato H, Morimoto K, Miyamoto K, Saragai Y, Kawamoto H, Okada H

Background/Aims: Bilateral endoscopic drainage with self-expanding metallic stent (SEMS) can be used to effectively manage hilar malignant biliary obstruction. However, the benefits of using a trisegment drainage method remain unknown. Methods:...
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Extra-anatomic percutaneous stenting of a malignant afferent loop obstruction following pancreaticoduodenectomy

Lam S, Khan S, Hutchins R, Fotheringham T

A 56-year-old male underwent a Whipple procedure for duodenal stricture secondary to a 32-mm duodenal adenocarcinoma. The patient presented again 66 months later with obstructive jaundice caused by an obstruction...
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Outcomes of Endoscopic Ultrasound-Guided Biliary Drainage in Patients Undergoing Antithrombotic Therapy

Okuno N, Hara K, Mizuno N, Haba S, Kuwahara T, Koda H, Tajika M, Tanaka T, Onishi S, Yamada K, Miyano A, Fumihara D, Elshair M

Background/Aims: The Japan Gastroenterological Endoscopy Society (JGES) has published guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment. These guidelines classify endoscopic ultrasound-guided biliary drainage (EUS-BD) as a high-risk procedure....
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Endoscopic Ultrasound-Guided Hepaticogastrostomy: Technical Review and Tips to Prevent Adverse Events

Ogura T, Higuchi K

Most patients who require biliary drainage can be treated by endoscopic retrograde cholangiopancreatography (ERCP)-guided procedures. However, ERCP can be challenging in patients with complications, such as malignant duodenal obstruction, or...
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Recent development of endoscopic ultrasound-guided biliary drainage

Kunda R

Endoscopic ultrasound (EUS)-guided drainage of bile ducts is experiencing widespread introduction into clinical algorithms and utilization of its benefits on regular basis. Various types of procedures, including EUS-guided choledochoduodenostomy, EUS-guided...
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Risk Factors for Pancreatitis and Cholecystitis after Endoscopic Biliary Stenting in Patients with Malignant Extrahepatic Bile Duct Obstruction

Kim GH, Ryoo SK, Park JK, Park JK, Lee KH, Lee KT, Lee JK

BACKGROUND/AIMS: For the treatment of malignant biliary obstruction, endoscopic retrograde biliary drainage (ERBD) has been widely accepted as a standard procedure. However, post-ERBD complications can affect the lives of patients....
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Pneumoperitoneum after Endoscopic Duodenal Stent Insertion in a Patient with Percutaneous Transhepatic Biliary Drainage and Biliary Stent: A Case Report

Choi J, Lee MJ, Lee H, Kim Y, Han JH, Park SM

Early removal of a percutaneous transhepatic biliary drainage (PTBD) tube commonly causes pneumoperitoneum. However, we encountered a patient who developed pneumoperitoneum even with an indwelling PTBD tube. An 84-year-old man...
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Endoscopic Ultrasound-Guided Biliary Drainage for Unresectable Hilar Malignant Biliary Obstruction

Nakai Y, Kogure H, Isayama H, Koike K

Endoscopic transpapillary biliary drainage is the current standard of care for unresectable hilar malignant biliary obstruction (MBO) and bilateral metal stent placement is shown to have longer patency. However, technical...
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Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases

Nakai Y, Kogure H, Isayama H, Koike K

Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet...
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Percutaneous Transhepatic Biliary Drainage in a Two-Month-Old Infant with Inspissated Bile Syndrome

Chang SH, Joo SM, Yoon CS, Lee KH, Lee SM

Inspissated bile syndrome (IBS) is a relatively rare condition. Many treatment options are available, including medication, surgery, and surgical interventions, such as insertion of cholecystostomy drain, endoscopic retrograde cholangiopancreatography, internal...
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Percutaneous transhepatic biliary drainage catheter fracture: A case report

Kwan JR, Low KS, Lohan R, Shelat VG

Percutaneous transhepatic biliary drainage (PTBD) is safe treatment for biliary decompression given certain indications. However, this is temporary until definitive drainage is established. We report on a 76-year-old lady with...
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Percutaneous Metallic Stent Placement for Palliative Management of Malignant Biliary Hilar Obstruction

Shim DJ, Gwon DI, Han K, Kim Y, Ko GY, Shin JH, Ko HK, Kim JH, Kim JW, Yoon HK, Sung KB

OBJECTIVE: To investigate the outcomes of percutaneous metallic stent placements in patients with malignant biliary hilar obstruction (MBHO). MATERIALS AND METHODS: From January 2007 to December 2014, 415 patients (mean age,...
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Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites

Okuno N, Hara K, Mizuno N, Kuwahara T, Iwaya H, Tajika M, Tanaka T, Ishihara M, Hirayama Y, Onishi S, Toriyama K, Ito A, Kuraoka N, Matsumoto , Obata M, Yasuda M, Kurita Y, Tanaka H, Niwa Y

SUMMARY OF EVENT: Bacterial, mycotic peritonitis and Candida fungemia developed in a patient with moderate ascites who had undergone endoscopic ultrasound-guided biliary drainage (EUS-BD). Antibiotics and antifungal agent were administered...
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Endoscopic ultrasound-guided biliary drainage: Complications and their management

Isayama H, Nakai Y, Yamamoto N, Matsubara , Ito Y, Kogure H, Hamada T, Koike K

Endoscopic ultrasound-guided biliary drainage (EUS-BD), EUS-guided choledochoduodenostomy (EUS-CDS), and EUS-guided hepaticogastrostomy (EUS-HGS) can effectively palliate obstructive jaundice, but have not been well established yet. The incidence of complications is about...
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Endoscopic Ultrasound-Guided Biliary Access, with Focus on Technique and Practical Tips

Paik WH, Park DH

In 1980, endoscopic ultrasound (EUS) was introduced as a diagnostic tool for evaluation of the pancreas. Since the introduction of curvilinear-array echoendoscopy, EUS has been used for a variety of...
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Risks of transesophageal endoscopic ultrasonography-guided biliary drainage

Okuno N, Hara K, Mizuno N, Hijioka S, Kuwahara T, Tajika M, Tanaka T, Ishihara M, Hirayama Y, Onishi S, Niwa Y

SUMMARY OF EVENT: Pneumoderma, mediastinal emphysema, and bilateral pneumothorax were developed in the patient who had undergone transesophageal endoscopic ultrasonography-guided rendezvous technique. Chest drainage was performed immediately. TEACHING POINT: Transesophageal approach...
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Novel diagnostic and therapeutic modalities using endoscopic ultrasound in pancreatic disease

Luthra AK, Mishra G

Endoscopic ultrasound is a rapidly evolving technology with an expanding list of diagnostic and therapeutic capabilities. Innovative uses of endoscopic ultrasound in pancreatic malignancy may serve to improve survivability with...
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Endoscopic Removal of Remained Drawstring After Percutaneous Transhepatic Biliary Drainage

Yoon TW, Jung GY, Park YJ, Choi JY, Jung JH, Kim TG

The percutaneous transhepatic biliary drainage (PTBD) is an effective intervention as a palliative therapy for relieving a jaundice and cholangitis. It may be used in place of Endoscopic retrograde cholangiopancreatography...
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Nasogastric tube placement into the hepaticojejunostomy anastomosis in pancreaticoduodenectomy: a simple surgical technique for prevention of bile leak

Kaya B, Ozcabi Y, Tasdelen I, Onur E, Memisoglu

Hepaticojejunostomy is an important part of many surgical procedures including pancreaticoduodenectomy. Biliary leakage from hepaticojejunostomy may be associated with intraabdominal abscess formation, biliary peritonitis, and even mortality. A 72-year-old female...
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