Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions?
Malignant distal biliary obstructions are becoming increasingly common, especially in patients with cancers of the pancreatic head, despite progress in medical oncology research. ERCP is the current gold standard for management of such strictures, but the emergence of EC-LAMS has rendered EUS-CDS bo...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-01-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/60/2/220 |
| _version_ | 1797297558174826496 |
|---|---|
| author | Thomas Guilmoteau Jérémie Albouys Abdelkader Taibi Romain Legros Marion Schaefer Jérémie Jacques |
| author_facet | Thomas Guilmoteau Jérémie Albouys Abdelkader Taibi Romain Legros Marion Schaefer Jérémie Jacques |
| author_sort | Thomas Guilmoteau |
| collection | DOAJ |
| description | Malignant distal biliary obstructions are becoming increasingly common, especially in patients with cancers of the pancreatic head, despite progress in medical oncology research. ERCP is the current gold standard for management of such strictures, but the emergence of EC-LAMS has rendered EUS-CDS both safe and efficient. It is a “game changer”; originally intended for ERCP failure, two randomised clinical trials recently proposed EUS-CDS as a first-intent procedure in palliative settings. For resectable diseases, the absence of iatrogenic pancreatitis associated with a lower rate of postsurgical adverse events (compared with ERCP) leads us to believe that EUS-CDS might be used in first-intent as a pre-operative endoscopic biliary drainage. |
| first_indexed | 2024-03-07T22:23:03Z |
| format | Article |
| id | doaj.art-aa8eeed7cd1a4534840c0b282a1a4cbe |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-07T22:23:03Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-aa8eeed7cd1a4534840c0b282a1a4cbe2024-02-23T15:26:28ZengMDPI AGMedicina1010-660X1648-91442024-01-0160222010.3390/medicina60020220Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions?Thomas Guilmoteau0Jérémie Albouys1Abdelkader Taibi2Romain Legros3Marion Schaefer4Jérémie Jacques5Hepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, FranceHepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, FranceHepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, FranceHepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, FranceHepatogastroenterology, Nancy Regional University Hospital Center, 54500 Nancy, FranceHepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, FranceMalignant distal biliary obstructions are becoming increasingly common, especially in patients with cancers of the pancreatic head, despite progress in medical oncology research. ERCP is the current gold standard for management of such strictures, but the emergence of EC-LAMS has rendered EUS-CDS both safe and efficient. It is a “game changer”; originally intended for ERCP failure, two randomised clinical trials recently proposed EUS-CDS as a first-intent procedure in palliative settings. For resectable diseases, the absence of iatrogenic pancreatitis associated with a lower rate of postsurgical adverse events (compared with ERCP) leads us to believe that EUS-CDS might be used in first-intent as a pre-operative endoscopic biliary drainage.https://www.mdpi.com/1648-9144/60/2/220MDBOEUS-CDSEC-LAMSERCP |
| spellingShingle | Thomas Guilmoteau Jérémie Albouys Abdelkader Taibi Romain Legros Marion Schaefer Jérémie Jacques Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions? Medicina MDBO EUS-CDS EC-LAMS ERCP |
| title | Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions? |
| title_full | Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions? |
| title_fullStr | Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions? |
| title_full_unstemmed | Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions? |
| title_short | Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions? |
| title_sort | will endoscopic ultrasound guided choledocoduodenostomy with electrocautery enhanced lumen apposing metal stent placement replace endoscopic retrograde cholangiopancreatography when treating distal malignant biliary obstructions |
| topic | MDBO EUS-CDS EC-LAMS ERCP |
| url | https://www.mdpi.com/1648-9144/60/2/220 |
| work_keys_str_mv | AT thomasguilmoteau willendoscopicultrasoundguidedcholedocoduodenostomywithelectrocauteryenhancedlumenapposingmetalstentplacementreplaceendoscopicretrogradecholangiopancreatographywhentreatingdistalmalignantbiliaryobstructions AT jeremiealbouys willendoscopicultrasoundguidedcholedocoduodenostomywithelectrocauteryenhancedlumenapposingmetalstentplacementreplaceendoscopicretrogradecholangiopancreatographywhentreatingdistalmalignantbiliaryobstructions AT abdelkadertaibi willendoscopicultrasoundguidedcholedocoduodenostomywithelectrocauteryenhancedlumenapposingmetalstentplacementreplaceendoscopicretrogradecholangiopancreatographywhentreatingdistalmalignantbiliaryobstructions AT romainlegros willendoscopicultrasoundguidedcholedocoduodenostomywithelectrocauteryenhancedlumenapposingmetalstentplacementreplaceendoscopicretrogradecholangiopancreatographywhentreatingdistalmalignantbiliaryobstructions AT marionschaefer willendoscopicultrasoundguidedcholedocoduodenostomywithelectrocauteryenhancedlumenapposingmetalstentplacementreplaceendoscopicretrogradecholangiopancreatographywhentreatingdistalmalignantbiliaryobstructions AT jeremiejacques willendoscopicultrasoundguidedcholedocoduodenostomywithelectrocauteryenhancedlumenapposingmetalstentplacementreplaceendoscopicretrogradecholangiopancreatographywhentreatingdistalmalignantbiliaryobstructions |