PMID- 31677201
OWN - NLM
STAT- MEDLINE
DCOM- 20201027
LR  - 20201027
IS  - 1440-1746 (Electronic)
IS  - 0815-9319 (Linking)
VI  - 35
IP  - 6
DP  - 2020 Jun
TI  - Long-term outcome of endoscopic ultrasound-guided pancreatic duct drainage using 
      a fully covered self-expandable metal stent for pancreaticojejunal anastomosis 
      stricture.
PG  - 994-1001
LID - 10.1111/jgh.14897 [doi]
AB  - BACKGROUND AND AIM: Endoscopic ultrasound-guided pancreatic duct drainage 
      (EUS-PD) has been proposed for pancreatic duct obstruction after failure of 
      endoscopic retrograde pancreatography. We evaluate the long-term outcomes of 
      EUS-PD using a fully covered self-expandable metal stent (FCSEMS) for 
      pancreaticojejunal anastomosis (PJA) strictures following Whipple procedures. 
      METHODS: Twenty-three patients with PJA strictures underwent EUS-PD according to 
      the findings of EUS-guided pancreatogram and the passage of the guidewire through 
      PJA stricture (complete vs partial stricture) after failure of endoscopic 
      retrograde pancreatography. Technical and clinical success, adverse events (AEs), 
      and long-term outcomes were assessed. RESULTS: Technical and clinical success was 
      achieved in all patients. The complete and partial strictures were 11 and 12, 
      respectively. The direct transanastomotic and transmural plastic stenting in 
      partial PJA stricture was successful in only three patients (13%). Therefore, 20 
      patients underwent EUS-guided transmural FCSEMS placement during the initial 
      attempt. Early AEs, including abdominal pain (n = 3) and peripancreatic fluid 
      collection (n = 1), occurred in four patients (17.4%). During the follow-up 
      periods (median, 27.2 months; interquartile range [IQR], 18.7-40.6), five 
      patients (21.7%) developed late AEs, including asymptomatic stent fracture at the 
      gastric end (n = 3), asymptomatic stent migration (n = 1), and stent occlusion 
      (n = 1). The total duration of stent placement was 27.2 months (IQR, 18.7-40.6), 
      and the median number of stent revision was 2 (IQR, 1-2). CONCLUSIONS: In terms 
      of safety and efficacy, EUS-PD with an FCSEMS showed favorable success and 
      acceptable AEs rate and durable long-term outcomes.
CI  - (c) 2019 Journal of Gastroenterology and Hepatology Foundation and John Wiley & 
      Sons Australia, Ltd.
FAU - Oh, Dongwook
AU  - Oh D
AUID- ORCID: 0000-0002-6084-0138
AD  - Division of Gastroenterology, Department of Internal Medicine, University of 
      Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
FAU - Park, Do Hyun
AU  - Park DH
AD  - Division of Gastroenterology, Department of Internal Medicine, University of 
      Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
FAU - Song, Tae Jun
AU  - Song TJ
AD  - Division of Gastroenterology, Department of Internal Medicine, University of 
      Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
FAU - Lee, Sang Soo
AU  - Lee SS
AD  - Division of Gastroenterology, Department of Internal Medicine, University of 
      Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
FAU - Seo, Dong-Wan
AU  - Seo DW
AD  - Division of Gastroenterology, Department of Internal Medicine, University of 
      Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
FAU - Lee, Sung Koo
AU  - Lee SK
AD  - Division of Gastroenterology, Department of Internal Medicine, University of 
      Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
FAU - Kim, Myung-Hwan
AU  - Kim MH
AD  - Division of Gastroenterology, Department of Internal Medicine, University of 
      Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
LA  - eng
PT  - Journal Article
DEP - 20191210
PL  - Australia
TA  - J Gastroenterol Hepatol
JT  - Journal of gastroenterology and hepatology
JID - 8607909
SB  - IM
MH  - Aged
MH  - Cholangiopancreatography, Endoscopic Retrograde/adverse effects
MH  - Constriction, Pathologic/etiology/surgery
MH  - Drainage/*methods
MH  - Endoscopy, Digestive System/*methods
MH  - Endosonography/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pancreatic Ducts/*pathology/*surgery
MH  - Pancreaticojejunostomy/*adverse effects/methods
MH  - Retrospective Studies
MH  - *Self Expandable Metallic Stents
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Whipple procedures
OT  - endoscopic ultrasound-guided pancreatic duct drainage
OT  - fully covered self-expandable metal stents
OT  - long-term outcomes
OT  - pancreatic ductal obstruction
EDAT- 2019/11/05 06:00
MHDA- 2020/10/28 06:00
CRDT- 2019/11/03 06:00
PHST- 2019/04/05 00:00 [received]
PHST- 2019/09/17 00:00 [revised]
PHST- 2019/10/08 00:00 [accepted]
PHST- 2019/11/05 06:00 [pubmed]
PHST- 2020/10/28 06:00 [medline]
PHST- 2019/11/03 06:00 [entrez]
AID - 10.1111/jgh.14897 [doi]
PST - ppublish
SO  - J Gastroenterol Hepatol. 2020 Jun;35(6):994-1001. doi: 10.1111/jgh.14897. Epub 
      2019 Dec 10.