Long-term outcomes of a newly developed hybrid metal stent for endoscopic ultrasound–guided biliary drainage

2016 ◽  
Author(s):  
Dong Hui Cho
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Long Term Outcomes

scholarly journals Long-term outcomes of endoscopic ultrasound-guided biliary drainage performed with a fully covered self-expandable metallic stent

2014 ◽  
Vol 84 (1) ◽  
pp. 64-65
Author(s):  
Katsuyuki Sanga ◽  
Kazuya Sugimori ◽  
Yuichiro Tozuka ◽  
Hirofumi Kuwashima ◽  
Yuro Shimizu ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Metallic Stent ◽  
Ultrasound Guided ◽  
Long Term Outcomes ◽  
Expandable Metallic Stent

Mo1362 Preliminary Report on a New Hybrid Metal Stent for Endoscopic Ultrasound-Guided Biliary Drainage

2014 ◽  
Vol 79 (5) ◽  
pp. AB408
Author(s):  
Tae Jun Song ◽  
Sang Soo Lee ◽  
Do Hyun Park ◽  
Dong Wan Seo ◽  
Sung Koo Lee ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Preliminary Report ◽  
Metal Stent ◽  
Ultrasound Guided

scholarly journals ELEMENT TRIAL: study protocol for a randomized controlled trial on endoscopic ultrasound-guided biliary drainage of first intent with a lumen-apposing metal stent vs. endoscopic retrograde cholangio-pancreatography in the management of malignant distal biliary obstruction

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Yen-I Chen ◽  
◽  
Kashi Callichurn ◽  
Avijit Chatterjee ◽  
Etienne Desilets ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Locally Advanced ◽  
Endoscopic Drainage ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Endoscopic Retrograde ◽  
Promising Alternative ◽  
Randomized Controlled

Abstract Background & aims Endoscopic ultrasound guided-biliary drainage (EUS-BD) is a promising alternative to endoscopic retrograde cholangiopancreatography (ERCP); however, its growth has been limited by a lack of multicenter randomized controlled trials (RCT) and dedicated devices. A dedicated EUS-BD lumen- apposing metal stent (LAMS) has recently been developed with the potential to greatly facilitate the technique and safety of the procedure. We aim to compare a first intent approach with EUS-guided choledochoduodenostomy with a dedicated biliary LAMS vs. standard ERCP in the management of malignant distal biliary obstruction. Methods The ELEMENT trial is a multicenter single-blinded RCT involving 130 patients in nine Canadian centers. Patients with unresectable, locally advanced, or borderline resectable malignant distal biliary obstruction meeting the inclusion and exclusion criteria will be randomized to EUS-choledochoduodenostomy using a LAMS or ERCP with traditional metal stent insertion in a 1:1 proportion in blocks of four. Patients with hilar obstruction, resectable cancer, or benign disease are excluded. The primary endpoint is the rate of stent dysfunction needing re-intervention. Secondary outcomes include technical and clinical success, interruptions in chemotherapy, rate of surgical resection, time to stent dysfunction, and adverse events. Discussion The ELEMENT trial is designed to assess whether EUS-guided choledochoduodenostomy using a dedicated LAMS is superior to conventional ERCP as a first-line endoscopic drainage approach in malignant distal biliary obstruction, which is an important and timely question that has not been addressed using an RCT study design. Trial registration Registry name: ClinicalTrials.gov. Registration number: NCT03870386. Date of registration: 03/12/2019.

Long-term placement of lumen-apposing metal stent after endoscopic ultrasound-guided duodeno- and jejunojejunal anastomosis for direct access to excluded jejunal limb

Endoscopy ◽  
2020 ◽  
Author(s):  
Gianfranco Donatelli ◽  
Fabrizio Cereatti ◽  
Andrea Spota ◽  
David Danan ◽  
Thierry Tuszynski ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Endoscopic Ultrasound ◽  
Direct Access ◽  
Metal Stent ◽  
Technical Success ◽  
Ultrasound Guided ◽  
Endoscopic Retrograde ◽  
Indwelling Time ◽  
Stricture Recurrence

Abstract Background Management of biliary disorders in patients with altered anatomy may be challenging. Endoscopic ultrasound (EUS)-guided gastrointestinal anastomosis using a lumen-apposing metal stent (LAMS) was introduced to allow endoscopic retrograde cholangiography (ERC) in such cases. However, the appropriate stent indwelling time remains uncertain. We report long-term LAMS deployment after duodenojejunal or jejunojejunal anastomosis (EUS-DJA) to allow endoscopic reinterventions in cases of recurrences. Methods 11 consecutive patients underwent EUS-DJA with long-standing LAMS between January 2017 and December 2018. Over a 12-month period, ERC treatment was carried out with multiple endoscopic sessions across the DJA. Results Technical success was 91 % (10/11) for EUS-DJA and 100 % for ERC. Four patients presented stricture recurrence at a mean of 489 days (standard deviation [SD] 31.7) after the end of ERC treatment. A novel ERC across the LAMS anastomosis was feasible in all cases. At a mean of 781 days (SD 253.1), all LAMS remained in place with no evidence of complications. Conclusion Long-term LAMS placement after EUS-DJA may be feasible and safe for direct access to the excluded limb.

scholarly journals Salvage procedure following lumen-apposing metal stent maldeployment during endoscopic ultrasound-guided biliary drainage

Endoscopy ◽  
2018 ◽  
Vol 50 (07) ◽  
pp. E190-E191 ◽  
Author(s):  
Dario Ligresti ◽  
Michele Amata ◽  
Antonino Granata ◽  
Fabio Cipolletta ◽  
Luca Barresi ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Salvage Procedure ◽  
Metal Stent ◽  
Ultrasound Guided
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