EUS-guided choledochoduodenostomy for palliative biliary drainage in patients with malignant biliary obstruction: Results of long-term follow-up

K. Yamao, V. Bhatia, N. Mizuno, A. Sawaki, H. Ishikawa, M. Tajika, N. Hoki, Y. Shimizu, R. Ashida, Norio Fukami

Research output: Contribution to journalArticle

133 Citations (Scopus)

Abstract

Five patients with obstructive jaundice caused by malignant periampullary biliary stenosis underwent EUS-guided choledochoduodenostomy (EUS-CDS) from the first portion of the duodenum using a convex echoendoscope and a needle knife. All the steps of the procedure including passage dilatation and the plastic stent placement were performed through the accessory channel of the echoendoscope over the guide wire. Stent insertion was technically successful in all five patients. The procedure was also clinically effective in relieving jaundice in all cases. One patient developed pneumoperitoneum, which resolved with conservative management. Stent exchange was successful in seven of eight attempts in patients with stent occlusion. One failure was due to tumor invasion to the choledochoduodenal fistula. Stent patency was maintained in the remaining patients throughout their survival period. The average stent patency was 211.8 days. EUS-CDS from the first portion of the duodenum appears to be feasible and safe in cases of obstructive jaundice caused by distal bile duct obstruction.

Original languageEnglish (US)
Pages (from-to)340-342
Number of pages3
JournalEndoscopy
Volume40
Issue number4
DOIs
StatePublished - Apr 21 2008
Externally publishedYes

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Choledochostomy
Stents
Drainage
Obstructive Jaundice
Duodenum
Pneumoperitoneum
Cholestasis
Jaundice
Plastics
Fistula
Needles
Dilatation
Pathologic Constriction
Survival

ASJC Scopus subject areas

  • Gastroenterology

Cite this

EUS-guided choledochoduodenostomy for palliative biliary drainage in patients with malignant biliary obstruction : Results of long-term follow-up. / Yamao, K.; Bhatia, V.; Mizuno, N.; Sawaki, A.; Ishikawa, H.; Tajika, M.; Hoki, N.; Shimizu, Y.; Ashida, R.; Fukami, Norio.

In: Endoscopy, Vol. 40, No. 4, 21.04.2008, p. 340-342.

Research output: Contribution to journalArticle

Yamao, K, Bhatia, V, Mizuno, N, Sawaki, A, Ishikawa, H, Tajika, M, Hoki, N, Shimizu, Y, Ashida, R & Fukami, N 2008, 'EUS-guided choledochoduodenostomy for palliative biliary drainage in patients with malignant biliary obstruction: Results of long-term follow-up', Endoscopy, vol. 40, no. 4, pp. 340-342. https://doi.org/10.1055/s-2007-995485
Yamao, K. ; Bhatia, V. ; Mizuno, N. ; Sawaki, A. ; Ishikawa, H. ; Tajika, M. ; Hoki, N. ; Shimizu, Y. ; Ashida, R. ; Fukami, Norio. / EUS-guided choledochoduodenostomy for palliative biliary drainage in patients with malignant biliary obstruction : Results of long-term follow-up. In: Endoscopy. 2008 ; Vol. 40, No. 4. pp. 340-342.
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