Clinical Endoscopy

Brief Report

Infectious transmission from Savary dilators is uncommon: retrospective review from a large tertiary academic center: Zoe N. Memel, Duncan J. Flynn, Yasmin Hernandez-Barco, Kavel Harish Visrodia, Brenna Casey, Kumar Krishnan; Clin Endosc 2022;55(5):691-694. Published online June 29, 2021; DOI: https://doi.org/10.5946/ce.2021.050

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Tools for endoscopic management of benign luminal GI strictures
Venkata S. Akshintala, Nikrad Shahnavaz, Maaza Abdi, Dennis Chen, Yen-I Chen, Koushik K. Das, David Desilets, Mohit Girotra, Daniela Guerrero Vinsard, Galen Leung, Girish Mishra, V. Raman Muthusamy, Frances U. Onyimba, Swati Pawa, Tarun Rustagi, Sonali S.
Gastrointestinal Endoscopy.2025; 102(4): 454. CrossRef

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Original Articles

Efficacy of Nasobiliary Tubes and Biliary Stents in Management of Patients with Bile Leak after Liver Transplantation: A Systematic Review: Ali Raza, Anam Omer, Sara Iqbal, Vineet Gudsoorkar, Pramoda Koduru, Kumar Krishnan; Clin Endosc 2019;52(2):159-167. Published online March 29, 2019; DOI: https://doi.org/10.5946/ce.2018.118

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Background
/Aims: Bile leak is one of the most common complications of liver transplantation. The treatment options for bile leaks include conservative management, surgical re-intervention, percutaneous drainage and endoscopic drainage. We aimed to perform a systematic review to identify the efficacy of endoscopic treatment in the resolution of post-transplant bile leaks. Methods: Two independent reviewers performed systematic literature search in PubMed, ISI Web of Science, grey literature and relevant references in May 2017. Human studies in English with documented post-liver transplant bile leaks were included. Results: Thirty-four studies were included in the final analysis. The pooled efficacy of biliary stents for the resolution of post-transplant bile leaks was 82.43% compared with 87.15% efficacy of nasobiliary tubes. The efficacy of biliary stents was lower for anastomotic leaks (69.23%) compared to T-tube (90.9%) or cut-surface/ cystic duct stump related leaks (92.8%). Similarly, the efficacy of nasobiliary tube was also lower for anastomotic leaks (58.33%) compared to T-tube or cut-surface related leaks (100%). Conclusions: In this systematic review, the overall efficacy was 82.43% in biliary stent group, and 87.15% in nasobiliary tube group. Both biliary stent and nasobiliary tube were more effective in managing non-anastomotic leaks compared to anastomotic leaks.

Citations

Citations to this article as recorded by

Application of percutaneous biliary drainage in the treatment of post-operative bile leakage after liver rupture: A case report
Jinlong Chen, Zhikuan Wang, Lixin Zhang, Xi Chen, Yuanyuan Liu, Hong Chen, Xiaoqiang Tong, Yanchao Dong
Journal of Minimal Access Surgery.2025; 21(2): 200. CrossRef
Lesson learnt from 60 years of liver transplantation: Advancements, challenges, and future directions
Eyad Gadour
World Journal of Transplantation.2025;[Epub] CrossRef
Optimal timing of endoscopic biliary drainage for bile duct leaks: A multicenter, retrospective, clinical study
De-Xin Chen, Kai-Xuan Fang, Sheng-Xin Chen, Sen-Lin Hou, Gui-Hai Wen, Hai-Kun Yang, Da-Peng Shi, Qing-Xin Lu, Ya-Qi Zhai, Ming-Yang Li
World Journal of Gastrointestinal Surgery.2025;[Epub] CrossRef
Endoscopic management of bile duct leaks: Current strategies and controversies
De-Xin Chen, Sheng-Xin Chen, Guan-Jun Zhang, Ya-Wen Liang, Yu-Ming Han, Ya-Qi Zhai, Ming-Yang Li
World Journal of Gastrointestinal Endoscopy.2025;[Epub] CrossRef
A nomogram for prediction of ERCP success in patients with bile duct leaks: a multicenter study
De-xin Chen, Sheng-xin Chen, Sen-lin Hou, Gui-hai Wen, Hai-kun Yang, Da-peng Shi, Qing-xin Lu, Ya-qi Zhai, Ming-yang Li
Surgical Endoscopy.2024; 38(5): 2465. CrossRef
Complications in Post-Liver Transplant Patients
Carlotta Agostini, Simone Buccianti, Matteo Risaliti, Laura Fortuna, Luca Tirloni, Rosaria Tucci, Ilenia Bartolini, Gian Luca Grazi
Journal of Clinical Medicine.2023; 12(19): 6173. CrossRef
Nasobiliary drainage: an effective treatment for pruritus in cholestatic liver disease
Wafaa Ahmed, Rebecca Jeyaraj, David Reffitt, John Devlin, Abid Suddle, John Hunt, Michael A Heneghan, Phillip Harrison, Deepak Joshi
Frontline Gastroenterology.2022; 13(5): 416. CrossRef
A case of combined use of endoscopic drainage and percutaneous drainage for traumatic liver injury type III b
Shigekuni Okumura, Jun Oda, Yousuke Minami, Masaru Hirayama, Kennta Aida
Journal of the Japanese Society of Intensive Care Medicine.2021; 28(3): 210. CrossRef
Biliary Complications Following Adult Deceased Donor Liver Transplantation: Risk Factors and Implications at a High-volume US Center
Abraham J. Matar, Katie Ross-Driscoll, Lisa Kenney, Hannah K. Wichmann, Joseph F. Magliocca, William H. Kitchens
Transplantation Direct.2021; 7(10): e754. CrossRef
The Need for a Better-Designed Study of the Outcomes of Endoscopic Management of Bile Leak
Hyung Ku Chon, Eun Ji Shin, Seong-Hun Kim
Clinical Endoscopy.2020; 53(6): 633. CrossRef

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Addition of Endoscopic Ultrasound (EUS)-Guided Fine Needle Aspiration and On-Site Cytology to EUS-Guided Fine Needle Biopsy Increases Procedure Time but Not Diagnostic Accuracy: Rajesh N. Keswani, Kumar Krishnan, Sachin Wani, Laurie Keefer, Srinadh Komanduri; Clin Endosc 2014;47(3):242-247. Published online May 31, 2014; DOI: https://doi.org/10.5946/ce.2014.47.3.242

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Background/Aims

Although the diagnostic accuracy of endoscopic ultrasound with fine needle aspiration (EUS-FNA) in pancreas adenocarcinoma is high, endoscopic ultrasound with fine needle biopsy (EUS-FNB) is often required in other lesions; in these cases, it may be possible to forgo initial EUS-FNA and rapid on-site cytology evaluation (ROSE). The aim of this study was to compare the diagnostic accuracy of EUS-FNB alone (EUS-FNB group) with a conventional sampling algorithm of EUS-FNA with ROSE followed by EUS-FNB (EUS-FNA/B group) in nonpancreas adenocarcinoma lesions.

Methods

Retrospective cohort study of subjects who underwent EUS sampling of nonpancreatic adenocarcinoma lesions between February 2011 and May 2013.

Results

Over the study period, there were 43 lesions biopsied in 41 unique patients in the EUS-FNB group and 53 patients in the EUS-FNA/B group. Overall diagnostic accuracy was similar between the EUS-FNB and EUS-FNA/B groups (83.7% vs. 84.9%; p=1.0). In the subgroup of subepithelial mass lesions, diagnostic accuracy remained similar in the EUS-FNB and EUS-FNA/B groups (81.0% and 70.6%; p=0.7). EUS-FNB procedures were significantly shorter than those in the EUS-FNA/B group (58.4 minutes vs. 73.5 minutes; p<0.0001).

Conclusions

EUS-FNB without on-site cytology provides a high diagnostic accuracy in nonpancreas adenocarcinoma lesions. There appears to be no additive benefit with initial EUS-FNA but this requires further study in a prospective study.

Citations

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Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review
Cynthia A. Verloop, Jacqueline A.C. Goos, Marco J. Bruno, Rutger Quispel, Lydi M.J.W. van Driel, Lieke Hol
Gastrointestinal Endoscopy.2024; 99(6): 895. CrossRef
Methods of tissue preparation after EUS‐guided tissue acquisition without rapid on‐site assessment: Results of a randomized study
Vinh‐An Phan, Andrew Ruszkiewicz, Romina Safaeian, Joshua Zobel, Nam Q. Nguyen
Journal of Gastroenterology and Hepatology.2023; 38(5): 733. CrossRef
High Diagnostic Accuracy and Safety of Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Malignant Lymph Nodes: A Systematic Review and Meta-Analysis
Linbin Chen, Yin Li, Xiaoyan Gao, Shiyong Lin, Longjun He, Guangyu Luo, Jianjun Li, Chunyu Huang, Guobao Wang, Qing Yang, Hongbo Shan
Digestive Diseases and Sciences.2021; 66(8): 2763. CrossRef
Endoscopic ultrasound fine needle aspiration vs fine needle biopsy for pancreatic masses, subepithelial lesions, and lymph nodes
Irving Levine, Arvind J Trindade
World Journal of Gastroenterology.2021; 27(26): 4194. CrossRef
Factors associated with diagnostic accuracy, technical success and adverse events of endoscopic ultrasound‐guided fine‐needle biopsy: A systematic review and meta‐analysis
De‐Feng Li, Jian‐yao Wang, Mei‐feng Yang, Feng Xiong, Ding‐guo Zhang, Zheng‐lei Xu, Min‐Han Luo, Zhen‐dong Jing, Kai‐Xuan Wang, Li‐sheng Wang, Jun Yao
Journal of Gastroenterology and Hepatology.2020; 35(8): 1264. CrossRef
Factors affecting the accuracy of endoscopic ultrasound‐guided fine needle aspiration for the diagnosis of small (≤20 mm) pancreatic lesions
Hong Zhen Li, Chun Yan Peng, Shan Shan Shen, Lei Wang, Song Zhang, Gui Fang Xu, Bo Kong, Helmut Friess, Xiao Ping Zou, Ying Lv
Journal of Digestive Diseases.2020; 21(7): 416. CrossRef
Endoscopic Ultrasound Fine-Needle Aspiration versus Fine-Needle Biopsy for Lymph Node Diagnosis: A Large Multicenter Comparative Analysis
Diogo Turiani Hourneaux de Moura, Thomas R. McCarty, Pichamol Jirapinyo, Igor Braga Ribeiro, Galileu Ferreira Ayala Farias, Marvin Ryou, Linda S. Lee, Christopher C. Thompson
Clinical Endoscopy.2020; 53(5): 600. CrossRef
Recent advancement in EUS-guided fine needle sampling
Pujan Kandel, Michael B. Wallace
Journal of Gastroenterology.2019; 54(5): 377. CrossRef
A “Back Light System” for Identification of Sites for Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Solid Pancreatic Masses: A Prospective, Randomized Study with a Crossover Design
Ryo Harada, Hironari Kato, Soichiro Fushimi, Hirofumi Inoue, Daisuke Uchida, Yutaka Akimoto, Takeshi Tomoda, Kazuyuki Matsumoto, Yasuhiro Noma, Naoki Yamamoto, Shigeru Horiguchi, Koichiro Tsutsumi, Hiroyuki Okada
Clinical Endoscopy.2019; 52(4): 334. CrossRef
Present and Future of Endoscopic Ultrasound-Guided Tissue Acquisition in Solid Pancreatic Tumors
Jae Keun Park, Kwang Hyuck Lee
Clinical Endoscopy.2019; 52(6): 541. CrossRef
Cytology and histology: Complementary diagnostic modalities during endoscopic ultrasound-guided tissue acquisition
Norge Vergara, Roseann I. Wu, Stuti Shroff, Cindy M. McGrath
Techniques in Gastrointestinal Endoscopy.2018; 20(1): 10. CrossRef
AGA White Paper: Optimizing Endoscopic Ultrasound–Guided Tissue Acquisition and Future Directions
Sachin Wani, V. Raman Muthusamy, Cindy M. McGrath, Antonia R. Sepulveda, Ananya Das, Wells Messersmith, Michael L. Kochman, Janak Shah
Clinical Gastroenterology and Hepatology.2018; 16(3): 318. CrossRef
Advanced EUS Guided Tissue Acquisition Methods for Pancreatic Cancer
Pujan Kandel, Michael B. Wallace
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Thiruvengadam Muniraj, Harry R. Aslanian
Techniques in Gastrointestinal Endoscopy.2018; 20(1): 2. CrossRef
New Developments in Endoscopic Ultrasound Tissue Acquisition
Thiruvengadam Muniraj, Harry R. Aslanian
Gastrointestinal Endoscopy Clinics of North America.2017; 27(4): 585. CrossRef
Imaging modalities for characterising focal pancreatic lesions
Lawrence MJ Best, Vishal Rawji, Stephen P Pereira, Brian R Davidson, Kurinchi Selvan Gurusamy
Cochrane Database of Systematic Reviews.2017;[Epub] CrossRef
Impact of EUS-guided fine-needle biopsy sampling with a new core needle on the need for onsite cytopathologic assessment: a preliminary study
Eduardo Rodrigues-Pinto, Sujai Jalaj, Ian S. Grimm, Todd H. Baron
Gastrointestinal Endoscopy.2016; 84(6): 1040. CrossRef
Rapid On-Site Evaluation for Endoscopic Ultrasound–Guided Fine-Needle Aspiration Diagnosis of Pancreatic Lesions
Guoping Cai, Xiu Sun, Harry R. Aslanian, David Chhieng
Pathology Case Reviews.2015; 20(4): 164. CrossRef
Endoscopic Ultrasound–Guided Pancreatic Core Biopsy
James J. Farrell
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Yeon Suk Kim
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Gastrointestinal Endoscopy.2014; 80(6): 939. CrossRef

8,660 View
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