scholarly journals Newly Designed Laser-Cut Metal Stent with an Anchoring Hook and Thin Delivery System for Endoscopic Ultrasound–Guided Hepaticogastrostomy: Is It a Dream Stent?

2021 ◽  
Vol 12 (03) ◽  
pp. 179-181
Author(s):  
Surinder S. Rana

AbstractEndoscopic ultrasound–guided hepaticogastrostomy (EUS-HGS) involves creation of an anastomosis between two intra-abdominal mobile organs, namely, liver and the stomach, with no intervening stricture. Therefore, the risk of stent migration in EUS-HGS is very high and the stent migration can lead on to severe life-threatening complications like biliary peritonitis. During last few years, there have been increased efforts to design a safe and effective stent for EUS-HGS that obviates the risk of stent migration and can also be inserted quickly, preferably, in a single-step procedure. In this news and views, we discuss an experimental study from Japan that has evaluated a new partially covered self-expandable laser cut metal stent with a thin delivery system (7.2 F) and antimigration anchoring hooks for single-step EUS-HGS in phantom and animal models.

Endoscopy ◽  
2016 ◽  
Vol 48 (S 01) ◽  
pp. E327-E327 ◽  
Author(s):  
Nikhil Kumta ◽  
Marina Lordello Passos ◽  
Gustavo Rodela Silva ◽  
Aleksey Novikov ◽  
Michel Kahaleh

Endoscopy ◽  
2016 ◽  
Vol 48 (S 01) ◽  
pp. E254-E254 ◽  
Author(s):  
Carmelo Barbera ◽  
Giuseppe Grande ◽  
Nadia Alberghina ◽  
Mauro Manno ◽  
Rita Conigliaro

Endoscopy ◽  
2016 ◽  
Vol 48 (S 01) ◽  
pp. E222-E223
Author(s):  
Fabia Attili ◽  
Shyam Dang ◽  
Mihai Rimbaș ◽  
Luca Di Maurizio ◽  
Giuseppe Ettorre ◽  
...  

2020 ◽  
Vol 08 (08) ◽  
pp. E1034-E1038
Author(s):  
Kosuke Maehara ◽  
Susumu Hijioka ◽  
Yoshikuni Nagashio ◽  
Akihiro Ohba ◽  
Yuta Maruki ◽  
...  

Abstract Background and study aim Use of endoscopic ultrasound-guided biliary drainage (EUS-BD) has recently increased. In EUS-BD, after puncturing the bile duct, dilation is performed and the stent is deployed. Due to adverse events (AEs) such as unexpected displacement of the guidewire, simplified procedures are required. Currently, stents with small-diameter delivery systems are being rapidly developed, expanding the possibilities for of EUS-BD without dilation. In this retrospective study, we aimed to evaluate the success rates and AEs in patients who underwent EUS-guided hepaticogastrostomy (EUS-HGS) or EUS-guided hepaticojejunostomy (EUS-HJS) without dilation. Patients and methods Six consecutive patients with malignant biliary obstruction and failed transpapillary BD underwent EUS-HGS or EUS-HJS without dilation, deploying a 6-mm fully-covered self-expandable metallic stent with a 6-Fr delivery system. Results The technical and clinical success rates were 100 %. There was one case each of stent migration and stent occlusion, and no other AEs were noted. Conclusions EUS-HGS or EUS-HJS without dilation using a stent with a 6-Fr delivery system had high technical and clinical success rates; however, additional cases are required to validate the study findings.


Endoscopy ◽  
2015 ◽  
Vol 47 (S 01) ◽  
pp. E68-E68 ◽  
Author(s):  
Domenico Galasso ◽  
Todd Baron ◽  
Fabia Attili ◽  
Khaled Zachariah ◽  
Guido Costamagna ◽  
...  

Endoscopy ◽  
2015 ◽  
Vol 47 (S 01) ◽  
pp. E273-E273
Author(s):  
Franco Orellana ◽  
Fabia Attili ◽  
Santiago Andrade Zurita ◽  
Guido Costamagna ◽  
Alberto Larghi

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