Endoscopic ultrasound-guided hepaticogastrostomy using a 6-F cystotome and 12-cm covered metal stent

Koichiro Mandai; Koji Uno; Yusuke Okada; Azumi Suzuki; Kenjiro Yasuda

doi:10.1055/s-0041-111502

Endoscopy International Open, Table of Contents

Endosc Int Open 2016; 04(03): E287-E291
DOI: 10.1055/s-0041-111502

Case report

Endoscopic ultrasound-guided hepaticogastrostomy using a 6-F cystotome and 12-cm covered metal stent

Koichiro Mandai

Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, Kyoto 602-8026, Japan

,

Koji Uno

Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, Kyoto 602-8026, Japan

,

Yusuke Okada

Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, Kyoto 602-8026, Japan

,

Azumi Suzuki

Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, Kyoto 602-8026, Japan

,

Kenjiro Yasuda

Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, Kyoto 602-8026, Japan

› Author Affiliations

Abstract

Background and study aims: An iincreasing number of reports describe endoscopic ultrasound-guided hepaticogastrostomy for malignant biliary obstruction in patients with endoscopic retrograde cholangiopancreatography failure. However, this procedure has not yet been standardized; as a result, the rate of adverse events, including bile leakage and stent migration, is relatively high. Here, we report our experience with four cases of endoscopic ultrasound-guided hepaticogastrostomy performed according to our institutional procedure.

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References

References
1 Ikeuchi N, Itoi T. Endoscopic ultrasonography-guided biliary drainage: an alternative to percutaneous transhepatic puncture. Gastrointest Interv 2015; 4: 31-39
2 Kawakubo K, Isayama H, Kato H et al. Multicenter retrospective study of endoscopic ultrasound-guided biliary drainage for malignant biliary obstruction in Japan. J Hepatobiliary Pancreat Sci 2014; 21: 328-334
3 Ogura T, Sano T, Onda S et al. Endoscopic ultrasound-guided biliary drainage with a novel fine-gauge balloon catheter: one-step placement technique. Endoscopy 2015; 47: E245-E246
4 Martins FP, Rossini LG, Ferrari AP. Migration of a covered metallic stent following endoscopic ultrasound-guided hepaticogastrostomy: fatal complication. Endoscopy 2010; 42: E126-E127
5 Okuno N, Hara K, Mizuno N et al. Stent migration into the peritoneal cavity following endoscopic ultrasound-guided hepaticogastrostomy. Endoscopy 2015; 47: E311
6 Ogura T, Masuda D, Imoto A et al. EUS-guided hepaticogastrostomy combined with fine-gauge antegrade stenting: a pilot study. Endoscopy 2014; 46: 416-421
7 Ogura T, Yamamoto K, Sano T et al. Stent length is impact factor associated with stent patency in Endoscopic ultrasound-guided hepaticogastrostomy. J Gastroenterol Hepatol 2015;
8 Yane K, Katanuma A, Maguchi H et al. Successful re-intervention with metal stent trimming using argon plasma coagulation after endoscopic ultrasound-guided hepaticogastrostomy. Endoscopy 2014; 46: E391-E392
9 Kawakubo K, Isayama H, Kogure H et al. Exchange of self-expandable metal stent in endoscopic ultrasound-guided hepaticogastrostomy. Endoscopy 2012; 44: E311-E312
10 Hamada T, Isayama H, Nakai Y et al. Novel antireflux covered metal stent for recurrent occlusion of biliary metal stents: a pilot study. Dig Endosc 2014; 26: 264-269