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Optimal endoscopic drainage strategy for unresectable malignant hilar biliary obstruction
Itaru Naitoh, Tadahisa Inoue
Clin Endosc 2023;56(2):135-142.   Published online January 5, 2023
DOI: https://doi.org/10.5946/ce.2022.150
AbstractAbstract PDFPubReaderePub
Endoscopic biliary drainage strategies for managing unresectable malignant hilar biliary obstruction differ in terms of stent type, drainage area, and deployment method. However, the optimal endoscopic drainage strategy remains unclear. Uncovered self-expandable metal stents (SEMS) are the preferred type because of their higher functional success rate, longer time to recurrent biliary obstruction (RBO), and fewer cases of reintervention than plastic stents (PS). Other PS subtypes and covered SEMS, which feature a longer time to RBO than PS, can be removed during reintervention for RBO. Bilateral SEMS placement is associated with a longer time to RBO and a longer survival time than unilateral SEMS placement. Unilateral drainage is acceptable if a drainage volume of greater than 50% of the total liver volume can be achieved. In terms of deployment method, no differences were observed in clinical outcomes between side-by-side (SBS) and stent-in-stent deployment. Simultaneous SBS boasts a shorter procedure time and higher technical success rate than sequential SBS. This review of previous studies aimed to clarify the optimal endoscopic biliary drainage strategy for unresectable malignant hilar biliary obstruction.

Citations

Citations to this article as recorded by  
  • Comparison of unilateral and bilateral intraductal plastic stent placement for unresectable malignant hilar biliary obstruction: A propensity score‐matched cohort analysis
    Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yuhei Iwasa, Shinya Uemura, Kensaku Yoshida, Akinori Maruta, Takuji Iwashita, Ichiro Yasuda, Masahito Shimizu
    Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(4): 284.     CrossRef
  • Preoperative endoscopic biliary drainage by metal versus plastic stents for resectable perihilar cholangiocarcinoma
    David M. de Jong, Timothy M. Gilbert, Lynn E. Nooijen, Eva Braunwarth, Marijana Ninkovic, Florian Primavesi, Hassan Z. Malik, Nick Stern, Richard Sturgess, Joris I. Erdmann, Rogier P. Voermans, Marco J. Bruno, Bas Groot Koerkamp, Lydi M.J.W. van Driel
    Gastrointestinal Endoscopy.2024; 99(4): 566.     CrossRef
  • TOKYO criteria 2024 for the assessment of clinical outcomes of endoscopic biliary drainage
    Hiroyuki Isayama, Tsuyoshi Hamada, Toshio Fujisawa, Mitsuharu Fukasawa, Kazuo Hara, Atsushi Irisawa, Shigeto Ishii, Ken Ito, Takao Itoi, Yoshihide Kanno, Akio Katanuma, Hironari Kato, Hiroshi Kawakami, Hirofumi Kawamoto, Masayuki Kitano, Hirofumi Kogure,
    Digestive Endoscopy.2024;[Epub]     CrossRef
  • Trisectoral Metal Stenting Using Combined Stent-by-Stent and Stent-in-Stent Method for Malignant Hilar Biliary Obstruction: A Prospective Pilot Study
    Tadahisa Inoue, Rena Kitano, Mayu Ibusuki, Tomoya Kitada, Kazumasa Sakamoto, Satoshi Kimoto, Jun Arai, Kiyoaki Ito
    Digestive Diseases and Sciences.2024;[Epub]     CrossRef
  • Research progress on biliary stents

    Progress in Medical Devices.2023;[Epub]     CrossRef
  • 3,530 View
  • 360 Download
  • 4 Web of Science
  • 5 Crossref
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Endoscopic Evaluation of Biliary Strictures: Current and Emerging Techniques
Roy Huynh, Corinne Owers, Christopher Pinto, Thuy-My Nguyen, Titus Kwok
Clin Endosc 2021;54(6):825-832.   Published online May 27, 2021
DOI: https://doi.org/10.5946/ce.2021.048
AbstractAbstract PDFPubReaderePub
The diagnosis of biliary strictures in clinical practice can be challenging. Discriminating between benign and malignant biliary strictures is important to prevent the morbidity and mortality associated with incorrect diagnoses. Missing a malignant biliary stricture may delay surgery, resulting in poor prognostic outcomes. Conversely, it has been demonstrated that approximately 20% of patients who undergo surgery for suspected biliary malignancies have a benign etiology on histopathology. Traditional tissue sampling using endoscopic retrograde cholangiography does not always produce a definitive diagnosis, with a considerable proportion of cases remaining as indeterminate biliary strictures. Recent advances in endoscopic techniques have the potential to improve the diagnostic and prognostic accuracy of biliary strictures.

Citations

Citations to this article as recorded by  
  • Diagnostic value of new biliary biopsy cannulae for malignant bile duct strictures via endoscopic retrograde cholangiopancreatography pathway
    Meng-Qi Zhuang, Cheng Zheng, Wei-Wei Xie, Lin Xu, Jia-Li Wu, Dao-Quan Zhang, Yuan-Gan Chen, Sen-Sen Niu, Xiang Zhan, Yu-Bao Zhou
    Asian Journal of Surgery.2024; 47(1): 471.     CrossRef
  • Nightmare of straight-type plastic stent migration into the peripheral bile duct: what is my savior?
    Yun Chae Lee, Shayan Irani, Hyung Ku Chon
    Clinical Endoscopy.2024; 57(1): 134.     CrossRef
  • Case report: The diagnostic dilemma of indeterminate biliary strictures: report on two cases with a literature review
    Chunyan Meng, Jing Wang, Peipei Zhang, Bo Wang
    Frontiers in Oncology.2024;[Epub]     CrossRef
  • The additional value of the combined use of EUS and ERCP for the evaluation of unclear biliary strictures
    Eszter Bényei, Antonio Molinaro, Per Hedenström, Riadh Sadik
    Scandinavian Journal of Gastroenterology.2024; 59(8): 980.     CrossRef
  • The Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound Connection: Unity Is Strength, or the Endoscopic Ultrasonography Retrograde Cholangiopancreatography Concept
    Claudio Giovanni De Angelis, Eleonora Dall’Amico, Maria Teresa Staiano, Marcantonio Gesualdo, Mauro Bruno, Silvia Gaia, Marco Sacco, Federica Fimiano, Anna Mauriello, Simone Dibitetto, Chiara Canalis, Rosa Claudia Stasio, Alessandro Caneglias, Federica Me
    Diagnostics.2023; 13(20): 3265.     CrossRef
  • Biliary Tree Diagnostics: Advances in Endoscopic Imaging and Tissue Sampling
    Matteo Ghisa, Angelo Bellumat, Manuela De Bona, Flavio Valiante, Marco Tollardo, Gaia Riguccio, Angelo Iacobellis, Edoardo Savarino, Andrea Buda
    Medicina.2022; 58(1): 135.     CrossRef
  • Increasing the Yield: When More Is Better
    Kevin D. Platt, Allison R. Schulman
    American Journal of Gastroenterology.2022; 117(5): 729.     CrossRef
  • 4,885 View
  • 257 Download
  • 7 Web of Science
  • 7 Crossref
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Focused Review Series: EUS-Guided Therapeutic Interventions
Endoscopic Ultrasound-Guided Biliary Access, with Focus on Technique and Practical Tips
Woo Hyun Paik, Do Hyun Park
Clin Endosc 2017;50(2):104-111.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.036
AbstractAbstract PDFPubReaderePub
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 gastrointestinal interventions, including fine needle aspiration, tumor ablation, and pancreatobiliary access. One of the main therapeutic roles of EUS is biliary drainage as an alternative to endoscopic retrograde biliary drainage (ERBD) or percutaneous transhepatic biliary drainage (PTBD). This article summarizes three different methods of EUS-guided biliary access, with focus on technique and practical tips.

Citations

Citations to this article as recorded by  
  • Endoscopic Management of Malignant Biliary Obstruction
    Woo Hyun Paik, Do Hyun Park
    Gastrointestinal Endoscopy Clinics of North America.2024; 34(1): 127.     CrossRef
  • A Systematic Review of Endoscopic Treatments for Concomitant Malignant Biliary Obstruction and Malignant Gastric Outlet Obstruction and the Outstanding Role of Endoscopic Ultrasound-Guided Therapies
    Giacomo Emanuele Maria Rizzo, Lucio Carrozza, Dario Quintini, Dario Ligresti, Mario Traina, Ilaria Tarantino
    Cancers.2023; 15(9): 2585.     CrossRef
  • Endoscopic ultrasound-guided biliary drainage-current status and future perspectives
    Petko Ivanov Karagyozov, Ivan Tishkov, Irina Boeva, Kiril Draganov
    World Journal of Gastrointestinal Endoscopy.2021; 13(12): 607.     CrossRef
  • EUS-Guided Versus ERCP-Guided Biliary Drainage for Primary Treatment of Distal Malignant Biliary Obstruction
    Woo Hyun Paik, Do Hyun Park
    Current Treatment Options in Gastroenterology.2020; 18(2): 188.     CrossRef
  • Endoscopic Retrograde Cholangiopancreatography Results 3 Days After a Failed Pre-cut
    Arecio Peñaloza-Ramirez, Dumar Rodriguez-Tello, Andres Murillo-Arias, Jonathan Barreto-Perez, Pedro Aponte-Ordoñez
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Endoscopic Ultrasound-Guided Biliary Drainage
    Jeremy S. Nussbaum, Nikhil A. Kumta
    Gastrointestinal Endoscopy Clinics of North America.2019; 29(2): 277.     CrossRef
  • Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases
    Yousuke Nakai, Hirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike
    Clinical Endoscopy.2019; 52(3): 212.     CrossRef
  • Relief of Obstruction in the Management of Pancreatic Cancer
    Chang-Il Kwon
    The Korean Journal of Gastroenterology.2019; 74(2): 69.     CrossRef
  • Current Status of Endoscopic Ultrasound Techniques for Pancreatic Neoplasms
    Yousuke Nakai, Naminatsu Takahara, Suguru Mizuno, Hirofumi Kogure, Kazuhiko Koike
    Clinical Endoscopy.2019; 52(6): 527.     CrossRef
  • Endoscopic Ultrasound–Guided Biliary Drainage
    Brian R. Boulay, Simon K. Lo
    Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 171.     CrossRef
  • Endoscopic ultrasound–guided biliary and pancreatic duct access and intervention
    Patrick Pfau
    Techniques in Gastrointestinal Endoscopy.2017; 19(4): 207.     CrossRef
  • 10,241 View
  • 282 Download
  • 7 Web of Science
  • 11 Crossref
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