Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinoma
Abstract Background and Aim Obstructive jaundice induced by pancreatic adenocarcinoma is typically treated with biliary drainage with endoscopic retrograde cholangiopancreatography (ERCP)‐guided biliary drainage (ERCP‐BD). Recently, endoscopic ultrasonography‐guided biliary drainage (EUS‐BD) was emp...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-04-01
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| Series: | JGH Open |
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| Online Access: | https://doi.org/10.1002/jgh3.12732 |
| _version_ | 1818024213906194432 |
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| author | Tomohiro Tanikawa Katsunori Ishii Ryo Katsumata Noriyo Urata Ken Nishino Mitsuhiko Suehiro Miwa Kawanaka Ken Haruma Hirofumi Kawamoto |
| author_facet | Tomohiro Tanikawa Katsunori Ishii Ryo Katsumata Noriyo Urata Ken Nishino Mitsuhiko Suehiro Miwa Kawanaka Ken Haruma Hirofumi Kawamoto |
| author_sort | Tomohiro Tanikawa |
| collection | DOAJ |
| description | Abstract Background and Aim Obstructive jaundice induced by pancreatic adenocarcinoma is typically treated with biliary drainage with endoscopic retrograde cholangiopancreatography (ERCP)‐guided biliary drainage (ERCP‐BD). Recently, endoscopic ultrasonography‐guided biliary drainage (EUS‐BD) was employed as an alternative method after ERCP‐BD failed. We aimed to determine the efficacy and safety of EUS‐BD for primary biliary drainage. Methods Between December 2011 and February 2019, at Kawasaki General Medical Center, we retrospectively enrolled 33 patients who had undergone endoscopic biliary drainage with a metal stent, in a first attempt to relieve obstructive jaundice caused by unresectable pancreatic adenocarcinoma. We compared the technical and clinical outcomes between ERCP‐BD and EUS‐BD. Results Twenty‐three patients underwent ERCP‐BD and 10 underwent EUS‐BD. Both groups achieved 100% technical success. The clinical success rates were similar between the groups: 91% (21/23 patients) for ERCP‐BD and 100% (10/10 patients) for EUS‐BD (P = 0.48). Biliary obstruction recurred in 6/23 patients (26%) treated with ERCP‐BD and 1/10 patients (10%) treated with EUS‐BD (P = 0.40). Other adverse events occurred in 4/23 patients (17%) in the ERCP‐BD group and 1/10 patients (10%) in the EUS‐BD group (P = 0.99). Conclusion We suggest that EUS‐BD could be employed for primary biliary drainage in patients with obstructive jaundice caused by unresectable pancreatic adenocarcinoma. |
| first_indexed | 2024-12-10T03:56:39Z |
| format | Article |
| id | doaj.art-36427cb7b7b3464abfd4cb51410c5b04 |
| institution | Directory Open Access Journal |
| issn | 2397-9070 |
| language | English |
| last_indexed | 2024-12-10T03:56:39Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj.art-36427cb7b7b3464abfd4cb51410c5b042022-12-22T02:03:06ZengWileyJGH Open2397-90702022-04-016425125610.1002/jgh3.12732Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinomaTomohiro Tanikawa0Katsunori Ishii1Ryo Katsumata2Noriyo Urata3Ken Nishino4Mitsuhiko Suehiro5Miwa Kawanaka6Ken Haruma7Hirofumi Kawamoto8Department of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanDepartment of General Internal Medicine 2 Kawasaki Medical School Okayama JapanAbstract Background and Aim Obstructive jaundice induced by pancreatic adenocarcinoma is typically treated with biliary drainage with endoscopic retrograde cholangiopancreatography (ERCP)‐guided biliary drainage (ERCP‐BD). Recently, endoscopic ultrasonography‐guided biliary drainage (EUS‐BD) was employed as an alternative method after ERCP‐BD failed. We aimed to determine the efficacy and safety of EUS‐BD for primary biliary drainage. Methods Between December 2011 and February 2019, at Kawasaki General Medical Center, we retrospectively enrolled 33 patients who had undergone endoscopic biliary drainage with a metal stent, in a first attempt to relieve obstructive jaundice caused by unresectable pancreatic adenocarcinoma. We compared the technical and clinical outcomes between ERCP‐BD and EUS‐BD. Results Twenty‐three patients underwent ERCP‐BD and 10 underwent EUS‐BD. Both groups achieved 100% technical success. The clinical success rates were similar between the groups: 91% (21/23 patients) for ERCP‐BD and 100% (10/10 patients) for EUS‐BD (P = 0.48). Biliary obstruction recurred in 6/23 patients (26%) treated with ERCP‐BD and 1/10 patients (10%) treated with EUS‐BD (P = 0.40). Other adverse events occurred in 4/23 patients (17%) in the ERCP‐BD group and 1/10 patients (10%) in the EUS‐BD group (P = 0.99). Conclusion We suggest that EUS‐BD could be employed for primary biliary drainage in patients with obstructive jaundice caused by unresectable pancreatic adenocarcinoma.https://doi.org/10.1002/jgh3.12732biliary drainageendoscopic retrograde cholangiopancreatographyendoscopic ultrasonography‐guided biliary drainagemetal stentobstructive jaundice |
| spellingShingle | Tomohiro Tanikawa Katsunori Ishii Ryo Katsumata Noriyo Urata Ken Nishino Mitsuhiko Suehiro Miwa Kawanaka Ken Haruma Hirofumi Kawamoto Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinoma JGH Open biliary drainage endoscopic retrograde cholangiopancreatography endoscopic ultrasonography‐guided biliary drainage metal stent obstructive jaundice |
| title | Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinoma |
| title_full | Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinoma |
| title_fullStr | Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinoma |
| title_full_unstemmed | Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinoma |
| title_short | Efficacy of primary drainage by endoscopic ultrasound‐guided biliary drainage for unresectable pancreatic adenocarcinoma |
| title_sort | efficacy of primary drainage by endoscopic ultrasound guided biliary drainage for unresectable pancreatic adenocarcinoma |
| topic | biliary drainage endoscopic retrograde cholangiopancreatography endoscopic ultrasonography‐guided biliary drainage metal stent obstructive jaundice |
| url | https://doi.org/10.1002/jgh3.12732 |
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