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Original Article
- Endoscopic ultrasound-guided hepaticogastrostomy and endoscopic retrograde cholangiopancreatography-guided biliary drainage for distal malignant biliary obstruction due to pancreatic cancer with asymptomatic duodenal invasion: a retrospective, single-center study in Japan
- Naminatsu Takahara, Yousuke Nakai, Kensaku Noguchi, Tatsunori Suzuki, Tatsuya Sato, Ryunosuke Hakuta, Kazunaga Ishigaki, Tomotaka Saito, Tsuyoshi Hamada, Mitsuhiro Fujishiro
- Received February 14, 2024 Accepted May 13, 2024 Published online August 23, 2024
- DOI: https://doi.org/10.5946/ce.2024.031 [Epub ahead of print]
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Graphical Abstract
Abstract
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PubReader
ePub - Background
/Aims: Duodenal invasion (DI) is a risk factor for early recurrent biliary obstruction (RBO) in endoscopic retrograde cholangiopancreatography-guided biliary drainage (ERCP-BD). Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) may reduce early RBO in cases of asymptomatic DI, even when ERCP is possible.
Methods
We enrolled 56 patients with pancreatic cancer and asymptomatic DI who underwent EUS-HGS (n=25) or ERCP-BD (n=31). Technical and clinical success, early (<3 months) and overall RBO rates, time to RBO (TRBO), and adverse events (AEs) were compared between the EUS-HGS and ERCP-BD groups. Risk factors for early RBO were also evaluated.
Results
Baseline characteristics were similar between the groups. Both procedures demonstrated 100% technical and clinical success rates, with a similar incidence of AE (48% vs. 39%, p=0.59). While the median TRBO was comparable (5.7 vs. 8.8 months, p=0.60), EUS-HGS was associated with a lower incidence of early RBO compared to ERCP-BD (8% vs. 29%, p=0.09). The major causes of early RBO in ERCP-BD were sludge and food impaction, rarely occurring in EUS-HGS. EUS-HGS was potentially reduced early RBO (odds ratio, 0.32; p=0.07).
Conclusions
EUS-HGS can be a viable option for treating pancreatic cancer with asymptomatic DI.
- 991 View
- 127 Download
Review
- Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?
- Yousuke Nakai, Saburo Matsubara, Tsuyoshi Mukai, Tsuyoshi Hamada, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, Tomotaka Saito, Hiroyuki Isayama, Ichiro Yasuda, for the WONDERFUL study group in Japan
- Received October 3, 2023 Accepted November 1, 2023 Published online May 17, 2024
- DOI: https://doi.org/10.5946/ce.2023.254 [Epub ahead of print]
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Abstract
PDFPubReaderePub
- Postoperative pancreatic fistulas (POPFs) are common adverse events that occur after pancreatic surgery. Endoscopic ultrasonography (EUS)-guided drainage (EUS-D) is a first-line treatment, similar to that for pancreatic fluid collection (PFCs) after acute pancreatitis. However, some POPFs do not develop fluid collections depending on the presence or location of the surgical drain, whereas others develop fluid collections, such as postoperative fluid collections (POPFCs). Although POPFCs are similar to PFCs, the strategy and modality for POPF management need to be modified according to the presence of fluid collections, surgical drains, and surgical type. As discussed for PFCs, the indications, timing, and selection of interventions or stents for EUS-D have not been fully elucidated for POPFs. In this review, we discuss the management of POPFs and POPFCs in comparison with PFCs due to acute pancreatitis and summarize the topics that should be addressed in future studies.
- 3,083 View
- 248 Download
Original Article
- Evaluation of the mechanical properties of current biliary self-expandable metallic stents: axial and radial force, and axial force zero border
- Wataru Yamagata, Toshio Fujisawa, Takashi Sasaki, Rei Ishibashi, Tomotaka Saito, Shuntaro Yoshida, Shizuka No, Kouta Inoue, Yousuke Nakai, Naoki Sasahira, Hiroyuki Isayama
- Clin Endosc 2023;56(5):633-649. Published online April 10, 2023
- DOI: https://doi.org/10.5946/ce.2022.201
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Graphical Abstract
Abstract
PDFPubReaderePub
- Background
/Aims: Mechanical properties (MPs) and axial and radial force (AF and RF) may influence the efficacy and complications of self-expandable metallic stent (SEMS) placement. We measured the MPs of various SEMSs and examined their influence on the SEMS clinical ability.
Methods
We evaluated the MPs of 29 types of 10-mm SEMSs. RF was measured using a conventional measurement device. AF was measured using the conventional and new methods, and the correlation between the methods was evaluated.
Results
A high correlation in AFs was observed, as measured by the new and conventional manual methods. AF and RF scatterplots divided the SEMSs into three subgroups according to structure: hook-and-cross-type (low AF and RF), cross-type (high AF and low RF), and laser-cut-type (intermediate AF and high RF). The hook-and-cross-type had the largest axial force zero border (>20°), followed by the laser-cut and cross types.
Conclusions
MPs were related to stent structure. Hook-and-cross-type SEMSs had a low AF and high axial force zero border and were considered safest because they caused minimal stress on the biliary wall. However, the increase in RF must be overcome. -
Citations
Citations to this article as recorded by
- Characteristics of four commonly used self-expanding biliary stents: an in vitro study
Jiaywei Tsauo, Yan Fu, Yue Liu, Xiaowu Zhang, He Zhao, Xiao Li
European Radiology Experimental.2024;[Epub] CrossRef - Outcomes of 6‐mm diameter fully covered self‐expandable metal stents for preoperative biliary drainage in pancreatic cancer
Hiroki Nakagawa, Tsuyoshi Takeda, Takeshi Okamoto, Takafumi Mie, Akiyoshi Kasuga, Takashi Sasaki, Masato Ozaka, Takahisa Matsuda, Yoshinori Igarashi, Naoki Sasahira
DEN Open.2024;[Epub] CrossRef - Late-onset Rupture of the Intrahepatic Pseudoaneurysm Developed by Endoscopic Ultrasonography-guided Hepaticogastrostomy: A Case Report and Literature Review
Tesshin Ban, Yoshimasa Kubota, Takuya Takahama, Shun Sasoh, Satoshi Tanida, Makoto Nakamura, Tomoaki Ando, Takashi Joh
Internal Medicine.2024;[Epub] CrossRef - Dosimetric characteristics of self-expandable metallic and plastic stents for transpapillary biliary decompression in external beam radiotherapy
Yoshihiro Ueda, Kenji Ikezawa, Tomohiro Sagawa, Masaru Isono, Shingo Ohira, Masayoshi Miyazaki, Ryoji Takada, Takuo Yamai, Kazuyoshi Ohkawa, Teruki Teshima, Koji Konishi
Physical and Engineering Sciences in Medicine.2024;[Epub] CrossRef - Radial force and wire structure determine the onset of covered self‐expandable metal stent migration in endoscopic ultrasound‐guided hepaticogastrostomy: Measurement of sliding‐resistance force using a porcine model
Takehiko Koga, Hiroshi Yamada, Yusuke Ishida, Naoaki Tsuchiya, Takanori Kitaguchi, Keisuke Matsumoto, Makoto Fukuyama, Norihiro Kojima, Fumihito Hirai
Journal of Hepato-Biliary-Pancreatic Sciences.2024;[Epub] CrossRef - Biliary stents for active materials and surface modification: Recent advances and future perspectives
Yuechuan Li, Kunshan Yuan, Chengchen Deng, Hui Tang, Jinxuan Wang, Xiaozhen Dai, Bing Zhang, Ziru Sun, Guiying Ren, Haijun Zhang, Guixue Wang
Bioactive Materials.2024; 42: 587. CrossRef - Manufacturing, Processing, and Characterization of Self-Expanding Metallic Stents: A Comprehensive Review
Saeedeh Vanaei, Mahdi Hashemi, Atefeh Solouk, Mohsen Asghari Ilani, Omid Amili, Mohamed Samir Hefzy, Yuan Tang, Mohammad Elahinia
Bioengineering.2024; 11(10): 983. CrossRef - Understanding mechanical properties of biliary metal stents for wise stent selection
Seok Jeong
Clinical Endoscopy.2023; 56(5): 592. CrossRef - How to reduce fistula formation after self-expandable metallic stent insertion for treating malignant esophageal stricture?
Kwang Bum Cho
Clinical Endoscopy.2023; 56(6): 735. CrossRef
- Characteristics of four commonly used self-expanding biliary stents: an in vitro study
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Commentarys
- Endoscopic Biliary Drainage for Hilar Obstruction: Further Evidence But Still A Long Way To Go
- Yousuke Nakai
- Clin Endosc 2021;54(5):629-630. Published online June 23, 2021
- DOI: https://doi.org/10.5946/ce.2021.158
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PDFPubReaderePub
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Citations
Citations to this article as recorded by- Loop technique for guidewire manipulation during endoscopic ultrasound‐guided hepaticogastrostomy
Haruo Miwa, Kazuya Sugimori, Yuto Matsuoka, Kazuki Endo, Ritsuko Oishi, Masaki Nishimura, Yuichiro Tozuka, Takashi Kaneko, Kazushi Numata, Shin Maeda
JGH Open.2023; 7(5): 358. CrossRef
- Loop technique for guidewire manipulation during endoscopic ultrasound‐guided hepaticogastrostomy
- 3,199 View
- 86 Download
- 1 Web of Science
- 1 Crossref
- Is the July Effect Real in Patients Undergoing Endoscopic Retrograde Cholangiopancreatography?
- Tae Yoon Lee, Yousuke Nakai
- Clin Endosc 2019;52(5):399-400. Published online July 25, 2019
- DOI: https://doi.org/10.5946/ce.2019.132
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PDFPubReaderePub
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Citations
Citations to this article as recorded by- Increased ERCP volume improves cholangiogram interpretation: a new performance measure for ERCP training?
Shyam Vedantam, Sunil Amin, Ben Maher, Saqib Ahmad, Shanil Kadir, Saad Khalid Niaz, Mark Wright, Nadeem Tehami
Clinical Endoscopy.2022; 55(3): 426. CrossRef
- Increased ERCP volume improves cholangiogram interpretation: a new performance measure for ERCP training?
- 4,151 View
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- 1 Crossref
Focused review series
- Current Status of Endoscopic Ultrasound Techniques for Pancreatic Neoplasms
- Yousuke Nakai, Naminatsu Takahara, Suguru Mizuno, Hirofumi Kogure, Kazuhiko Koike
- Clin Endosc 2019;52(6):527-532. Published online July 24, 2019
- DOI: https://doi.org/10.5946/ce.2019.025
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Abstract
PDFPubReaderePub
- Endoscopic ultrasound (EUS) now plays an important role in the management of pancreatic neoplasms. There are various types of pancreatic neoplasms, from benign to malignant lesions, and the role of EUS ranges from the imaging diagnosis to treatment. EUS is useful for the detection, characterization, and tissue acquisition of pancreatic lesions. Recent advancement of contrast-enhanced harmonic EUS and elastography enables better characterization of pancreatic lesions. In addition to these enhanced EUS imaging techniques, EUS-guided tissue acquisition is now the standard procedure to establish the pathological diagnosis of pancreatic neoplasms. While these diagnostic roles of EUS have been established, EUS-guided interventions such as ablation and drainage are also increasingly utilized in the management of pancreatic neoplasms. However, most of these EUS-guided interventions are not yet standardized in terms of techniques and devices and thus need further investigations.
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Citations
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Vaneet Jearth, Surinder S. Rana
Journal of Digestive Endoscopy.2022; 13(01): 019. CrossRef - Endoscopic Management of Pancreatobiliary Malignancies
Dong Wook Lee, Eun Young Kim
Digestive Diseases and Sciences.2022; 67(5): 1635. CrossRef - Bazo accesorio intrapancreático: reporte de caso resuelto con pancreatectomía distal robótica
Armando Pereyra-Talamantes, Juan Eduardo Flores-Martín, Marco Antonio Gallaga-Rojas, Jesús Emmanuel Rodríguez-Silverio, Erikc González-Azua, Mario Eduardo Alonso-Calamaco, Enrique Jiménez-Chavarría, Héctor F Noyola-Villalobos
Revista Mexicana de Cirugía Endoscópica.2022; 23(1-2): 41. CrossRef - Dynamic Doppler Ultrasound Assessment of Tissue Perfusion Is a Better Tool than a Single Vessel Doppler Examination in Differentiating Malignant and Inflammatory Pancreatic Lesions
Przemysław Dyrla, Arkadiusz Lubas, Jerzy Gil, Marek Saracyn, Maciej Gonciarz
Diagnostics.2021; 11(12): 2289. CrossRef - Differential diagnosis of solid pancreatic masses
Julio Iglesias-Garcia, Daniel de la Iglesia-Garcia, José M. Olmos-Martinez, José Lariño-Noia, J. Enrique Dominguez-Muñoz
Minerva Gastroenterologica e Dietologica.2020;[Epub] CrossRef
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Focused Review Series: Expanding Indication: Interventional Endoscopic Management for Pancreaticobiliary Diseaseses
- Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases
- Yousuke Nakai, Hirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike
- Clin Endosc 2019;52(3):212-219. Published online March 14, 2019
- DOI: https://doi.org/10.5946/ce.2018.188
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Abstract
PDFPubReaderePub
- 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 obstruction. After a failed ERCP, a surgical or a percutaneous approach is selected as a rescue procedure; however, various endoscopic ultrasound (EUS)-guided interventions are increasingly utilized in pancreatobiliary diseases, including EUS-guided rendezvous for failed biliary cannulation, EUS-guided antegrade treatment for stone management, and EUS-guided hepaticogastrostomy for anastomotic strictures in patients with a surgically altered anatomy. There are some technical hurdles in EUS-guided interventions for benign biliary diseases owing to the difficulty in puncturing a relatively small bile duct and in subsequent guidewire manipulation, as well as the lack of dedicated devices. A recent major advancement in this field is the introduction of a 2-step approach, in which EUS-guided drainage is placed in the first session and antegrade treatment is performed in subsequent sessions. This approach allows the use of various techniques such as mechanical lithotripsy and cholangioscopy without a risk of bile leak. In summary, EUS-guided interventions are among the treatment options for benign biliary diseases; however, standardization of the procedure and development of a treatment algorithm are needed.
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Citations
Citations to this article as recorded by- EUS-BD for calibration of benign stenosis of the bile duct in patients with altered anatomy or inaccessible papilla
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Endoscopy International Open.2024; 12(03): E377. CrossRef - Safety of endoscopic ultrasound-guided hepaticogastrostomy in patients with malignant biliary obstruction and ascites
Tsukasa Yasuda, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Takamichi Kuwahara, Nozomi Okuno, Yasuhiro Kuraishi, Takafumi Yanaidani, Sho Ishikawa, Masanori Yamada, Toshitaka Fukui
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Journal of Digestive Endoscopy.2024; 15(03): 174. CrossRef - A retrospective multicenter study comparing the punctures to B2 and B3 in endoscopic ultrasound–guided hepaticogastrostomy
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Diagnostics.2023; 13(24): 3623. CrossRef - EUS‐guided hepaticogastrostomy for hepaticojejunostomy stricture using a 22G needle and a mechanical dilator (with video)
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- 13,357 View
- 309 Download
- 34 Web of Science
- 37 Crossref
- Endoscopic Ultrasound-Guided Biliary Drainage for Unresectable Hilar Malignant Biliary Obstruction
- Yousuke Nakai, Hirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike
- Clin Endosc 2019;52(3):220-225. Published online November 29, 2018
- DOI: https://doi.org/10.5946/ce.2018.094
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Abstract
PDFPubReaderePub
- 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 and clinical failure is possible and percutaneous transhepatic biliary drainage (PTBD) is sometimes necessary. Endoscopic ultrasound-guided biliary drainage (EUS-BD) is increasingly being reported as an alternative rescue procedure to PTBD. EUS-BD has a potential advantage of not traversing the biliary stricture and internal drainage can be completed in a single session. Some approaches to bilateral biliary drainage for hilar MBO under EUS-guidance include a bridging method, hepaticoduodenostomy, and a combination of EUS-BD and transpapillary biliary drainage. The aim of this review is to summarize data on EUS-BD for hilar MBO and to clarify its advantages over the conventional approaches such as endoscopic transpapillary biliary drainage and PTBD.
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Citations
Citations to this article as recorded by- ERCP for the initial management of malignant biliary obstruction – real world data on 596 procedures
I. M. Mikalsen, S. Breder, A. W. Medhus, T. Folseraas, L. Aabakken, K. V. Ånonsen
Scandinavian Journal of Gastroenterology.2024; 59(3): 369. CrossRef - A Novel Method of Calculating the Drained Liver Volume Using a 3D Volume Analyzer for Biliary Drainage of Unresectable Malignant Hilar Biliary Obstruction
Naoto Imagawa, Mitsuharu Fukasawa, Shinichi Takano, Satoshi Kawakami, Yoshimitsu Fukasawa, Hiroyuki Hasegawa, Natsuhiko Kuratomi, Shota Harai, Naruki Shimamura, Dai Yoshimura, Shoji Kobayashi, Takashi Yoshida, Mitsuaki Sato, Yuichiro Suzuki, Nobuyuki Enom
Digestive Diseases and Sciences.2024; 69(3): 969. CrossRef - Safety of endoscopic ultrasound-guided hepaticogastrostomy in patients with malignant biliary obstruction and ascites
Tsukasa Yasuda, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Takamichi Kuwahara, Nozomi Okuno, Yasuhiro Kuraishi, Takafumi Yanaidani, Sho Ishikawa, Masanori Yamada, Toshitaka Fukui
Clinical Endoscopy.2024; 57(2): 246. CrossRef - A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure
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Endoscopy International Open.2024; 12(07): E875. CrossRef - Defining failure of endoluminal biliary drainage in the era of endoscopic ultrasound and lumen apposing metal stents
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World Journal of Gastroenterology.2024; 30(29): 3534. CrossRef - Endoscopic management of benign and malignant hilar stricture
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Digestive Endoscopy.2023; 35(4): 443. CrossRef - Endoscopic and Endosonographic Palliation for Triple Obstruction Caused by Recurrent Gallbladder Cancer: A Case Report
Young Rong Kim, Chi Hyuk Oh, Min Jae Yang
The Korean Journal of Pancreas and Biliary Tract.2023; 28(1): 19. CrossRef - Unpredictable Event during EUS-Guided Hepaticojejunostomy
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Düzce Tıp Fakültesi Dergisi.2023; 25(1): 89. CrossRef - Optimal endoscopic drainage strategy for unresectable malignant hilar biliary obstruction
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Clinical Endoscopy.2023; 56(2): 135. CrossRef - Role of radiofrequency ablation in advanced malignant hilar biliary obstruction
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Expert Review of Gastroenterology & Hepatology.2023; 17(12): 1197. CrossRef - Use of endoscopic ultrasound‐guided biliary drainage as a rescue of re‐intervention after the placement of multiple metallic stents for malignant hilar biliary obstruction
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Journal of Hepato-Biliary-Pancreatic Sciences.2022; 29(3): 404. CrossRef - Practical Tips for Safe and Successful Endoscopic Ultrasound-Guided Hepaticogastrostomy: A State-of-the-Art Technical Review
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Journal of Clinical Medicine.2022; 11(6): 1591. CrossRef - Role of ERCP in Malignant Hilar Biliary Obstruction
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Gastrointestinal Endoscopy Clinics of North America.2022; 32(3): 427. CrossRef - Endoscopic management of perihilar cholangiocarcinoma
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Digestive Endoscopy.2022; 34(6): 1147. CrossRef - Combination of ERCP with endoscopic ultrasound-guided hepaticogastrostomy and hepaticoduodenostomy for biliary drainage in malignant hilar biliary obstruction
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Endoscopy.2022; 54(S 02): E912. CrossRef - A case of malignant hilar biliary obstruction after total gastrectomy treated by EUS-HJS + bridging stenting
Yurie Tokito, Ryunosuke Hakuta, Hirofumi Kogure, Yousuke Nakai, Mitsuhiro Fujishiro
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International Journal of Gastrointestinal Intervention.2022; 11(3): 105. CrossRef - Three-year evaluation of a novel, nonfluoroscopic, all-artificial model for EUS-guided biliary drainage training for the impact to practice: A prospective observational study (with videos)
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Endoscopic Ultrasound.2022;[Epub] CrossRef - Comparative Study on Nosocomial Biliary Tract Infection Rate Between Biliary Stent Loaded with Radioactive 125I Seeds and Conventional Biliary Stent in the Treatment of Distal Malignant Biliary Obstruction
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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2022; 32(6): 724. CrossRef - ERCP plus endoscopic ultrasound-guided biliary drainage versus percutaneous transhepatic biliary drainage for malignant hilar biliary obstruction: a multicenter observational open-label study
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Jérôme Winkler, Fabrice Caillol, Jean-Philippe Ratone, Erwan Bories, Christian Pesenti, Marc Giovannini
Endoscopic Ultrasound.2021; 10(1): 51. CrossRef - Combined ERCP and transhepatic endoscopic ultrasound-guided stent placement for biliary drainage in malignant hilar obstruction: not too good to be true
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World Journal of Hepatology.2021; 13(2): 166. CrossRef - Efficacy of lumen-apposing metal stents or self-expandable metal stents for endoscopic ultrasound-guided choledochoduodenostomy: a systematic review and meta-analysis
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International Journal of Gastrointestinal Intervention.2021; 10(3): 120. CrossRef - A Recent Update on Endoscopic Drainage of Advanced Malignant Hilar Obstruction
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The Korean Journal of Gastroenterology.2021; 78(2): 94. CrossRef - Endoscopic Biliary Drainage for Hilar Obstruction: Further Evidence But Still A Long Way To Go
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Clinical Endoscopy.2021; 54(5): 629. CrossRef - EUS-guided antegrade metallic stent placement using the stent-in-stent method with a 6-Fr novel slim delivery system in a patient with malignant hilar biliary obstruction
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Endoscopic Ultrasound.2019; 8(7): 50. CrossRef
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