PMID- 31552913
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220412
IS  - 2303-9027 (Print)
IS  - 2226-7190 (Electronic)
IS  - 2226-7190 (Linking)
VI  - 9
IP  - 1
DP  - 2020 Jan-Feb
TI  - EUS-guided biliary drainage for the management of benign biliary strictures in 
      patients with altered anatomy: A single-center experience.
PG  - 45-52
LID - 10.4103/eus.eus_55_19 [doi]
AB  - BACKGROUND AND OBJECTIVES: The management of benign biliary stricture in patients 
      with altered anatomy secondary to surgery is challenging. Percutaneous 
      transhepatic biliary drainage (BD) represents the standard therapy for benign 
      biliary stricture, but it is associated with nontrivial morbidity rates. Despite 
      the increasing application of guided BD (EUS-BD) for the management of malignant 
      obstruction, its role in patients with benign biliary stricture is limited. This 
      retrospective study aimed to evaluate the feasibility, safety, and clinical 
      effectiveness of EUS-BD with multiple transanastomotic plastic stent treatment in 
      patients with benign biliary stricture. MATERIALS AND METHODS: This study 
      included consecutive patients who underwent EUS-BD for benign biliary stenosis at 
      our center. EUS-BD with fully covered self-expandable metal stent placement was 
      performed first. When feasible, the stricture was treated by balloon dilation 
      with the placement of a transanastomotic double-pigtail plastic stent. Scheduled 
      procedures were repeated to remove the metal stent and replace the plastic stent 
      to treat the stenosis. Technical success and adverse events (AEs) were assessed. 
      RESULTS: Twelve patients underwent EUS-BD for benign biliary strictures. 
      Procedural and clinical successes were achieved in all patients (100%). 
      Multistenting treatment was performed in 10/12 patients (77%). The median number 
      of stents inserted, maximum number of stents placed, and median time of 
      retreatment were 2.4 (range: 1-4), 4, and 3.4 (range: 1-7), respectively. In 
      total, 4/12 patients (33.3%) developed AEs that required endoscopic interventions 
      (Clavien-Dindo Grade III). CONCLUSIONS: EUS-BD with the placement of multiple 
      trans-stenosis plastic stents is a safe, feasible, and well-tolerated alternative 
      for the management of benign biliary stricture in patients with surgery-altered 
      anatomy. Long-term follow-up is necessary to support our results.
FAU - Pizzicannella, Margherita
AU  - Pizzicannella M
AD  - Endoscopy Unit, Campus Bio-Medico University of Rome, Rome, Italy.
FAU - Caillol, Fabrice
AU  - Caillol F
AD  - Endoscopy Unit, Paoli Calmettes Institute, Marseille, France.
FAU - Pesenti, Christian
AU  - Pesenti C
AD  - Endoscopy Unit, Paoli Calmettes Institute, Marseille, France.
FAU - Bories, Erwan
AU  - Bories E
AD  - Endoscopy Unit, Paoli Calmettes Institute, Marseille, France.
FAU - Ratone, Jean Philippe
AU  - Ratone JP
AD  - Endoscopy Unit, Paoli Calmettes Institute, Marseille, France.
FAU - Giovannini, Marc
AU  - Giovannini M
AD  - Endoscopy Unit, Paoli Calmettes Institute, Marseille, France.
LA  - eng
PT  - Journal Article
PL  - China
TA  - Endosc Ultrasound
JT  - Endoscopic ultrasound
JID - 101622292
PMC - PMC7038727
OTO - NOTNLM
OT  - Altered anatomy
OT  - EUS-guided biliary drainage
OT  - benign biliary stricture
COIS- None
EDAT- 2019/09/26 06:00
MHDA- 2019/09/26 06:01
PMCR- 2019/09/25
CRDT- 2019/09/26 06:00
PHST- 2019/09/26 06:00 [pubmed]
PHST- 2019/09/26 06:01 [medline]
PHST- 2019/09/26 06:00 [entrez]
PHST- 2019/09/25 00:00 [pmc-release]
AID - 267837 [pii]
AID - EUS-9-45 [pii]
AID - 10.4103/eus.eus_55_19 [doi]
PST - ppublish
SO  - Endosc Ultrasound. 2020 Jan-Feb;9(1):45-52. doi: 10.4103/eus.eus_55_19.