PMID- 33421211
OWN - NLM
STAT- MEDLINE
DCOM- 20211108
LR  - 20211108
IS  - 1443-1661 (Electronic)
IS  - 0915-5635 (Linking)
VI  - 33
IP  - 7
DP  - 2021 Nov
TI  - Endoscopic ultrasound-guided antegrade procedures for managing bile duct stones 
      in patients with surgically altered anatomy: Comparison with double-balloon 
      enteroscopy-assisted endoscopic retrograde cholangiography (with video).
PG  - 1179-1187
LID - 10.1111/den.13927 [doi]
AB  - BACKGROUND AND STUDY AIM: Management of bile duct stones (BDSs) in patients with 
      surgically altered anatomies (SAAs) remains challenging. An endoscopic 
      ultrasound-guided antegrade (EUS-AG) procedure and double-balloon 
      enteroscopy-assisted endoscopic retrograde cholangiography (DB-ERC) have been 
      used to remove BDSs from patients with SAAs. However, few comparative data have 
      been reported. Therefore, we compared the efficacy and safety of the techniques. 
      METHODS: This was a single-center retrospective study. Patients with SAA who 
      underwent the EUS-AG procedure or DB-ERC to remove intra- or extra-BDSs between 
      November 2010 and March 2020 were included. The primary outcome was the technical 
      success rate, defined as stent insertion or stone removal during the initial 
      session. The secondary outcomes were the procedure time, incidence of adverse 
      events (AEs), and complete stone removal rate. RESULTS: Of the 54 patients 
      enrolled, 23 underwent the EUS-AG procedure and 31 DB-ERC. The technical success 
      rates of EUS-AG and DB-ERC were 87.0% and 64.5%, respectively (P = 0.11). The 
      procedure time was significantly shorter in the EUS-AG group than in the DB-ERC 
      group (51.9 +/- 15.4 vs 72.6 +/- 32.2 min; P = 0.01), and the early AE rates were 
      26.1% and 12.9%, respectively (P = 0.71). The complete stone removal rates in 
      patients who underwent previous stone removal were 94.1% in the EUS-AG group and 
      85.7% in the DB-ERC group (P = 0.61). CONCLUSION: The EUS-AG afforded technical 
      success and complete stone removal rates comparable with those of DB-ERC, but the 
      former procedure was shorter. The AE rate was acceptable.
CI  - (c) 2021 Japan Gastroenterological Endoscopy Society.
FAU - Takasaki, Yusuke
AU  - Takasaki Y
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Ishii, Shigeto
AU  - Ishii S
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Shibuya, Tomoyoshi
AU  - Shibuya T
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Fujisawa, Toshio
AU  - Fujisawa T
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Ushio, Mako
AU  - Ushio M
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Takahashi, Sho
AU  - Takahashi S
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Ito, Koichi
AU  - Ito K
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Yamagata, Wataru
AU  - Yamagata W
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Suzuki, Akinori
AU  - Suzuki A
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Okahara, Koki
AU  - Okahara K
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Okawa, Yoshihiro
AU  - Okawa Y
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Ochiai, Kazushige
AU  - Ochiai K
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Tomishima, Ko
AU  - Tomishima K
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Nomura, Osamu
AU  - Nomura O
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Haga, Kenichi
AU  - Haga K
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Saito, Hiroaki
AU  - Saito H
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Nagahara, Akihito
AU  - Nagahara A
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
FAU - Isayama, Hiroyuki
AU  - Isayama H
AD  - Department of Gastroenterology, Graduate School of Medicine, University of 
      Juntendo, Tokyo, Japan.
LA  - eng
PT  - Journal Article
PT  - Video-Audio Media
DEP - 20210209
PL  - Australia
TA  - Dig Endosc
JT  - Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy 
      Society
JID - 9101419
SB  - IM
MH  - Cholangiography
MH  - Cholangiopancreatography, Endoscopic Retrograde
MH  - Double-Balloon Enteroscopy
MH  - *Gallstones/diagnostic imaging/surgery
MH  - Humans
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Ultrasonography, Interventional
OTO - NOTNLM
OT  - endoscopic ultrasound-guided antegrade
OT  - endoscopic ultrasound-intervention
OT  - enteroscopy-assisted endoscopic retrograde cholangiography
EDAT- 2021/01/10 06:00
MHDA- 2021/11/09 06:00
CRDT- 2021/01/09 17:10
PHST- 2020/07/09 00:00 [received]
PHST- 2021/01/05 00:00 [accepted]
PHST- 2021/01/10 06:00 [pubmed]
PHST- 2021/11/09 06:00 [medline]
PHST- 2021/01/09 17:10 [entrez]
AID - 10.1111/den.13927 [doi]
PST - ppublish
SO  - Dig Endosc. 2021 Nov;33(7):1179-1187. doi: 10.1111/den.13927. Epub 2021 Feb 9.