scholarly journals Sa1457 A NOVEL MODIFIED JEJUNUM MODEL FOR ENDOSCOPIC ULTRASONOGRAPHY-GUIDED BILIARY DRAINAGE PROCEDURES

2020 ◽  
Vol 91 (6) ◽  
pp. AB198
Author(s):  
Kevin Wood ◽  
Jay Budrewicz ◽  
Moises Rivera Bermudez ◽  
Katrina Hansen
Keyword(s):  
Endoscopic Ultrasonography ◽  
Biliary Drainage

Endoscopic Ultrasonography

2018 ◽  
Author(s):  
Marvin Ryou ◽  
Nitkin Kumar
Keyword(s):  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Endoscopic Ultrasonography ◽  
Fine Needle Aspiration ◽  
Biliary Drainage ◽  
Bile Duct Stone ◽  
Pancreatic Head ◽  
Needle Aspiration ◽  
Celiac Plexus ◽  
Fine Needle

Endoscopic ultrasonography (EUS) is a versatile tool that can be used to perform a variety of diagnostic and therapeutic procedures in the upper or lower gastrointestinal tract. The proximity of the echoendoscope to the pancreas, liver, and other thoracic and abdominal organs allows detailed examination or minimally invasive intervention that would not be feasible by surgical or percutaneous approaches. EUS is available with radial or linear scanning arrays and is capable of guiding fine-needle aspiration to acquire tissue for cytologic analysis. This review covers the role of EUS in chronic pancreatitis; pancreatic cysts; submucosal tumors; suspected choledocholithiasis; fecal incontinence; staging of malignancy in esophageal, pancreatic, gastric, and rectal cancer; celiac plexus block/neurolysis; fiducial placement; pseudocyst drainage and cystogastrostomy/cystoduodenostomy; endoscopic necrosectomy; and biliary drainage. Figures show peripancreatic cysts, gastrointestinal stromal tumor, common bile duct stone, esophageal adenocarcinoma, pancreatic head mass causing biliary obstruction and invading portal confluence, fine-needle aspiration of a pancreatic head mass, rectal adenocarcinoma, abdominal aorta with celiac artery and superior mesenteric artery, celiac plexus neurolysis, necrosectomy, and EUS-guided choledochoduodenostomy for failed endoscopic retrograde cholangiopancreatography. Tables list the Rosemont criteria for chronic pancreatitis and pancreatic cystic lesions.   Key words: bile duct stone, biliary drainage, echoendoscope, endoscopic ultrasonography, fine-needle aspiration, pancreatic cyst   This review contains 12 highly rendered figures, 2 tables, and 62 references.

scholarly journals A Case of Malignant Biliary Obstruction with Severe Obesity Successfully Treated by Endoscopic Ultrasonography-Guided Biliary Drainage

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Takashi Obana ◽  
Shuuji Yamasaki
Keyword(s):  
Biliary Tract ◽  
Endoscopic Ultrasonography ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Severe Obesity ◽  
Pancreatic Head ◽  
Biliary Tree ◽  
Malignant Biliary Obstruction ◽  
Metallic Stent ◽  
Pancreatic Head Cancer

Here, we present a case of malignant biliary tract obstruction with severe obesity, which was successfully treated by endoscopic ultrasonography-guided biliary drainage (EUS-BD). A female patient in her sixties who had been undergoing chemotherapy for unresectable pancreatic head cancer was admitted to our institution for obstructive jaundice. She had diabetes mellitus, and her body mass index was 35.1 kg/m2. Initially, endoscopic retrograde cholangiopancreatography (ERCP) was performed, but bile duct cannulation was unsuccessful. Percutaneous transhepatic biliary drainage (PTBD) from the left hepatic biliary tree also failed. Although a second PTBD attempt from the right hepatic lobe was accomplished, biliary tract bleeding followed, and the catheter was dislodged. Consequently, EUS-BD (choledochoduodenostomy), followed by direct metallic stent placement, was performed as a third drainage method. Her postprocedural course was uneventful. Following discharge, she spent the rest of her life at home without recurrent jaundice or readmission. In cases of severe obesity, we consider EUS-BD, rather than PTBD, as the second drainage method of choice for distal malignant biliary obstruction when ERCP fails.

scholarly journals Endoscopic ultrasonography-guided biliary drainage

2009 ◽  
Vol 17 (5) ◽  
pp. 611-616 ◽  
Author(s):  
Takao Itoi ◽  
Atsushi Sofuni ◽  
Fumihide Itokawa ◽  
Takayoshi Tsuchiya ◽  
Toshio Kurihara ◽  
...  
Keyword(s):  
Endoscopic Ultrasonography ◽  
Biliary Drainage

scholarly journals Bent needle technique as a rescue for bile duct puncture in endoscopic ultrasonography-guided intrahepatic biliary drainage

Endoscopy ◽  
2019 ◽  
Vol 51 (05) ◽  
pp. E103-E104 ◽  
Author(s):  
Hirotoshi Ishiwatari ◽  
Tatsunori Satoh ◽  
Junya Sato ◽  
Shinya Fujie ◽  
Junichi Kaneko ◽  
...  
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasonography ◽  
Biliary Drainage ◽  
Needle Technique
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