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CC BY-NC-ND 4.0 · Endosc Int Open 2022; 10(10): E1364-E1370
DOI: 10.1055/a-1923-0074
Original article

Introduction of endoscopic ultrasound-guided hepaticoenterostomy – experience from a general hospital in Japan

Toru Kaneko
1   Department of Gastroenterology of Kitasato University Medical Center, Saitama, Japan
2   Department of Gastroenterology of Kitasato University Hospital, Kanagawa, Japan
,
Mitshiro Kida
1   Department of Gastroenterology of Kitasato University Medical Center, Saitama, Japan
2   Department of Gastroenterology of Kitasato University Hospital, Kanagawa, Japan
,
Gen Kitahara
1   Department of Gastroenterology of Kitasato University Medical Center, Saitama, Japan
2   Department of Gastroenterology of Kitasato University Hospital, Kanagawa, Japan
,
Kazuho Uehara
1   Department of Gastroenterology of Kitasato University Medical Center, Saitama, Japan
2   Department of Gastroenterology of Kitasato University Hospital, Kanagawa, Japan
,
Shiori Koyama
1   Department of Gastroenterology of Kitasato University Medical Center, Saitama, Japan
2   Department of Gastroenterology of Kitasato University Hospital, Kanagawa, Japan
,
Satsuki Tachikawa
1   Department of Gastroenterology of Kitasato University Medical Center, Saitama, Japan
,
Masaaki Watanabe
1   Department of Gastroenterology of Kitasato University Medical Center, Saitama, Japan
,
Chika Kusano
2   Department of Gastroenterology of Kitasato University Hospital, Kanagawa, Japan
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Abstract

Background and study aims Endoscopic ultrasound-guided biliary drainage (EUS-BD) is a widely used alternative to endoscopic retrograde cholangiopancreatography (ERCP) when ERCP is unsuccessful or there are contraindications such as duodenal stenosis or postsurgical intestinal reconstruction. Therefore, we retrospectively investigated the therapeutic outcomes of EUS-BD in a medium-sized hospital.

Patients and methods We included 31 consecutive patients who underwent EUS-BD at the Kitasato University Medical Center between April 2018 and October 2021. Patient characteristics, technical and clinical success rates, stent patency, adverse events (AEs), and procedure time were analyzed.

Results Of the 31 patients included in this study, one underwent endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) and 30 underwent endoscopic ultrasound-guided hepaticoenterostomy (EUS-HES). The technical success rates were 100 % for EUS-CDS and 96.8 % for EUS-HES because EUS-HES was unsuccessful in one patient who then underwent EUS-CDS as an alternative treatment. The clinical success rates were 100 % for EUS-CDS and 96.7% for EUS-HES. The median follow-up period was 84 days (range: 14–483 days). Zero and 5 (16.6 %) patients who underwent EUS-CDS and EUS, respectively had stent dysfunction. The median stent patency (stent dysfunction and death) for EUS-HES was 124 days. AEs were observed in only two patients (6.7 %) who underwent EUS-HES.

Conclusions EUS-BD is now more widely used than before, and advances in the devices used have enabled the procedure to be performed more safely. Our results suggest that this introduction in medium-sized hospitals can be conducted safely.



Publication History

Received: 28 March 2022

Accepted after revision: 11 August 2022

Accepted Manuscript online:
11 August 2022

Article published online:
17 October 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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