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©2012 Baishideng Publishing Group Co.
World J Gastroenterol. May 28, 2012; 18(20): 2526-2532
Published online May 28, 2012. doi: 10.3748/wjg.v18.i20.2526
Published online May 28, 2012. doi: 10.3748/wjg.v18.i20.2526
Table 1 Patients’ clinical characteristics and results of endoscopic ultrasound-guided biliary drainage (n = 13)
No. of patient | Age/sex | Diagnosis | Reason for failed ERCP | Biliary drainage route | Device for puncture/dilatation | Diameter length of stent (mm/cm) | Technical success | Functional success | Complication | Reintervention | Duration (mo) of 1st stent placement | Status |
1 | 60/M | CBD cancer | Duodenal stenosis due to duodenal ulcer | Transduodenal | 19G FN/cystostome | 10/6 | Success | Success | No | No | Whipple’s operation | Alive |
2 | 83/F | CBD cancer | Failed to access the bile duct | Transduodenal | 19G FN/cystostome | 10/6 | Success | Success | Obstruction | Stent reinsertion | 6 | Dead |
3 | 76/F | CBD cancer | Failed to access the bile duct | Transduodenal | 19G FN/cystostome | 10/4 | Success | Success | Migration | Stent reinsertion | 2 | Dead |
4 | 68/F | CBD cancer | Duodenal obstruction due to mass | Transduodenal | 19G FN/cystostome | 10/6 | Success | Success | No | No | 7 | Alive |
5 | 66/M | Pancreatic cancer | Periampullary tumor infiltration | Transduodenal | 19G FN/tapered ERCP cannula and cystostome | 10/4 | Success | Success | Pneumoperitoneum/peritonitis | No | 3 | Dead |
6 | 68/M | Pancreatic cancer | Periampullary tumor infiltration | Transduodenal | 19G FN/bougie dilatator | 10/6 | Success | Success | No | No | 1 | Dead |
7 | 67/F | Pancreatic cancer | Periampullary tumor infiltration | Transduodenal | 19G FN/NK and bougie dilatator | 10/6 | Success | Success | No | No | 3 | Alive |
8 | 59/M | Pancreatic cancer | Periampullary tumor infiltration | Transduodenal | 19G FN/tapered ERCP cannula and cystostome | 10/6 | Success | Success | No | No | 4 | Alive |
9 | 80/M | Pancreatic cancer | Periampullary tumor infiltration | Transduodenal | 19G FN/tapered ERCP cannula and cystostome | 10/6 | Success | Success | No | No | 3 | Alive |
10 | 81/M | Klatskin’s tumor | Stricture could not be crossed (hilar) | Transgastric | 19G FN/cystostome | 10/6 | Success | Fail | Migration/pneumoperitoneum/peritonitis | PTBD | 5 | Dead |
11 | 55/M | Intrahepatic cholangiocarcinoma | Stricture could not be crossed (hilar) | Transgastric | 19G FN/cystostome | 10/6 | Success | Success | No | No | 3 | Dead |
12 | 62/M | Pancreatic cancer | Stricture could not be crossed (distal CBD) | Transgastric | 19G FN | 10/6 | Failed | Dead | ||||
13 | 70/M | CBD cancer | Stricture could not be crossed (distal CBD) | Transgastric | 19G FN/bougie dilatator | 10/6 | Success | Success | Migration | Stent reinsertion | 2 | Alive |
Table 2 Summary of published studies and current study on endoscopic ultrasound-guided biliary drainage with metal stent
Study | No. of EUS-BD-metal biliary stents | Technical success % | Clinical success % | Type of metal stent | Procedure-related complications (No. cases) |
Will et al[6] | 6 | 100 | 83.3 | Partially covered (3), uncovered (3) | Cholangitis (1) |
Artifon et al[27] | 1 | 100 | 100 | Partially covered | None |
Bories et al[3] | 11 | 91 | 100 | Partially covered metal stent (3) | Biloma (1), cholangitis (1) |
Park et al[9] | 9 | 100 | 100 | Fully covered | Pneumoperitoneum (2) |
Park et al[28] | 5 | 100 | 100 | Fully covered | None |
Siddiqui et al[29] | 8 | 100 | 100 | Fully covered | Duodenal perforation (1) |
This study | 13 | 92.3 | 91.7 | Fully covered | Mild peritonitis (2) |
- Citation: Kim TH, Kim SH, Oh HJ, Sohn YW, Lee SO. Endoscopic ultrasound-guided biliary drainage with placement of a fully covered metal stent for malignant biliary obstruction. World J Gastroenterol 2012; 18(20): 2526-2532
- URL: https://www.wjgnet.com/1007-9327/full/v18/i20/2526.htm
- DOI: https://dx.doi.org/10.3748/wjg.v18.i20.2526