Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation
Abstract Objectives To evaluate the feasibility and safety of endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) without fistula dilation using a novel self‐expandable metal stent (SEMS). Methods This retrospective study examined patients who underwent EUS‐CDS for malignant distal biliary...
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| Format: | Article |
| Language: | English |
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Wiley
2022-04-01
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| Series: | DEN Open |
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| Online Access: | https://doi.org/10.1002/deo2.56 |
| _version_ | 1811312399889727488 |
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| author | Takehiko Koga Susumu Hijioka Yosikuni Nagashio Akihiro Ohba Yuta Maruki Motohiro Yoshinari Yuya Hisada Shota Harai Hidetoshi Kitamura Kosuke Maehara Yumi Murashima Yuki Kawasaki Shun Kawahara Kotaro Takeshita Natsumi Yamada Tomoyuki Satake Shunsuke Kondo Chigusa Morizane Hideki Ueno Takuji Okusaka Yutaka Saito |
| author_facet | Takehiko Koga Susumu Hijioka Yosikuni Nagashio Akihiro Ohba Yuta Maruki Motohiro Yoshinari Yuya Hisada Shota Harai Hidetoshi Kitamura Kosuke Maehara Yumi Murashima Yuki Kawasaki Shun Kawahara Kotaro Takeshita Natsumi Yamada Tomoyuki Satake Shunsuke Kondo Chigusa Morizane Hideki Ueno Takuji Okusaka Yutaka Saito |
| author_sort | Takehiko Koga |
| collection | DOAJ |
| description | Abstract Objectives To evaluate the feasibility and safety of endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) without fistula dilation using a novel self‐expandable metal stent (SEMS). Methods This retrospective study examined patients who underwent EUS‐CDS for malignant distal biliary obstruction between October 2017 and May 2021 at the National Cancer Center, Japan. The primary outcome was a technical success without fistula dilation. Secondary outcomes were the overall technical success, clinical success, adverse events (AEs), procedure time, recurrent biliary obstruction (RBO), and time to RBO (TRBO). Results Forty‐one patients were enrolled; 31 patients underwent EUS‐CDS with fistula dilation using a conventional SEMS with 7.5–8.5‐Fr delivery system (conventional SEMS group), and 10 patients underwent EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system (novel SEMS group). In the novel SEMS group, the rate of technical success without fistula dilation was 90%. There were no differences in overall technical success (100% vs. 97%, p = 1.00), clinical success (80% vs. 90%, p = 0.58), and overall AEs (10% vs. 23%, p = 0.65) rates between the novel and conventional SEMS groups. In the novel SEMS group, no early AEs were observed and no bile leakage into the abdominal cavity was observed on the computed tomography scan after the procedure. The median procedure time was significantly shorter in the novel SEMS group (17 min vs. 24 min, p = 0.03). RBO and median TRBO did not differ between the 2 groups. Conclusions EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system is technically feasible, straightforward, quick, and safe. |
| first_indexed | 2024-04-13T10:35:32Z |
| format | Article |
| id | doaj.art-0aeaefd4369b4e2688eb2f450028ff16 |
| institution | Directory Open Access Journal |
| issn | 2692-4609 |
| language | English |
| last_indexed | 2024-04-13T10:35:32Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj.art-0aeaefd4369b4e2688eb2f450028ff162022-12-22T02:50:03ZengWileyDEN Open2692-46092022-04-0121n/an/a10.1002/deo2.56Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilationTakehiko Koga0Susumu Hijioka1Yosikuni Nagashio2Akihiro Ohba3Yuta Maruki4Motohiro Yoshinari5Yuya Hisada6Shota Harai7Hidetoshi Kitamura8Kosuke Maehara9Yumi Murashima10Yuki Kawasaki11Shun Kawahara12Kotaro Takeshita13Natsumi Yamada14Tomoyuki Satake15Shunsuke Kondo16Chigusa Morizane17Hideki Ueno18Takuji Okusaka19Yutaka Saito20Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo JapanEndoscopy Division National Cancer Center Hospital Tokyo JapanAbstract Objectives To evaluate the feasibility and safety of endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) without fistula dilation using a novel self‐expandable metal stent (SEMS). Methods This retrospective study examined patients who underwent EUS‐CDS for malignant distal biliary obstruction between October 2017 and May 2021 at the National Cancer Center, Japan. The primary outcome was a technical success without fistula dilation. Secondary outcomes were the overall technical success, clinical success, adverse events (AEs), procedure time, recurrent biliary obstruction (RBO), and time to RBO (TRBO). Results Forty‐one patients were enrolled; 31 patients underwent EUS‐CDS with fistula dilation using a conventional SEMS with 7.5–8.5‐Fr delivery system (conventional SEMS group), and 10 patients underwent EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system (novel SEMS group). In the novel SEMS group, the rate of technical success without fistula dilation was 90%. There were no differences in overall technical success (100% vs. 97%, p = 1.00), clinical success (80% vs. 90%, p = 0.58), and overall AEs (10% vs. 23%, p = 0.65) rates between the novel and conventional SEMS groups. In the novel SEMS group, no early AEs were observed and no bile leakage into the abdominal cavity was observed on the computed tomography scan after the procedure. The median procedure time was significantly shorter in the novel SEMS group (17 min vs. 24 min, p = 0.03). RBO and median TRBO did not differ between the 2 groups. Conclusions EUS‐CDS without fistula dilation using the novel SEMS with a 5.9‐Fr delivery system is technically feasible, straightforward, quick, and safe.https://doi.org/10.1002/deo2.56endoscopic ultrasound‐guided biliary drainageendoscopic ultrasound‐guided choledochoduodenostomyEUSEUS‐BDEUS‐CDS |
| spellingShingle | Takehiko Koga Susumu Hijioka Yosikuni Nagashio Akihiro Ohba Yuta Maruki Motohiro Yoshinari Yuya Hisada Shota Harai Hidetoshi Kitamura Kosuke Maehara Yumi Murashima Yuki Kawasaki Shun Kawahara Kotaro Takeshita Natsumi Yamada Tomoyuki Satake Shunsuke Kondo Chigusa Morizane Hideki Ueno Takuji Okusaka Yutaka Saito Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation DEN Open endoscopic ultrasound‐guided biliary drainage endoscopic ultrasound‐guided choledochoduodenostomy EUS EUS‐BD EUS‐CDS |
| title | Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation |
| title_full | Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation |
| title_fullStr | Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation |
| title_full_unstemmed | Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation |
| title_short | Endoscopic ultrasound‐guided choledochoduodenostomy without fistula dilation using a stent with a 5.9‐Fr delivery system: Comparison to a conventional procedure with fistula dilation |
| title_sort | endoscopic ultrasound guided choledochoduodenostomy without fistula dilation using a stent with a 5 9 fr delivery system comparison to a conventional procedure with fistula dilation |
| topic | endoscopic ultrasound‐guided biliary drainage endoscopic ultrasound‐guided choledochoduodenostomy EUS EUS‐BD EUS‐CDS |
| url | https://doi.org/10.1002/deo2.56 |
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