6,460 results match your criteria Biliary Stenting

Pronounced squamous cell contamination in biliary tract cytology: A diagnostic pitfall.

Diagn Cytopathol 2022 Jun 25. Epub 2022 Jun 25.

Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA.

Squamous cells are rarely found in biliary tract cytology specimens, and when present are typically scant in quantity. Over an 8-year time period, two cases at our institution reporting abundant squamous cells were identified. Both patients underwent endoscopic retrograde cholangiopancreatography with bile duct brushings and removal of a migrated biliary stent. Read More

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Use of trans-biliary rendezvous technique for stenting of an impassable duodenal stricture.

Diagn Interv Radiol 2022 May;28(3):257-259

Department of Radiology, Healthcare Imaging Services, Warnambool, Victoria, Australia.

Stenting of the gastric outlet is an accepted method for palliation of symptoms secondary to inoperable malignancy and is successful in most cases. Failure of stenting is most commonly due to inability to cross the stricture. We describe a rendezvous technique of duodenal stenting via transhepatic biliary access when conventional endoscopic or fluoroscopic methods fail. Read More

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Endoscopic biliary drainage using a 4-Fr catheter for biliary obstruction: a pilot study.

Minim Invasive Ther Allied Technol 2022 Jun 22:1-6. Epub 2022 Jun 22.

Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.

Introduction: Stent or endoscopic nasobiliary drainage (ENBD) catheter placement for a tight, complicated biliary stricture is still technically challenging. A thin, 4-Fr ENBD catheter (4-Fr catheter) has been developed to overcome this difficulty. The study aimed to evaluate the feasibility of the 4-Fr catheter for endoscopic biliary drainage (EBD). Read More

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Angle of covered self-expandable metallic stents after placement is a risk factor for recurrent biliary obstruction.

World J Hepatol 2022 May;14(5):992-1005

Department of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka 545-8585, Japan.

Background: Studies have shown that covered self-expandable metallic stents (CSEMS) with a low axial forces after placement can cause early recurrent biliary obstruction (RBO) due to precipitating sludge formation.

Aim: To ascertain whether the angle of CSEMS after placement is a risk factor for RBO in unresectable distal malignant biliary obstruction (MBO).

Methods: Between January 2010 and March 2019, 261 consecutive patients underwent self-expandable metallic stent insertion by endoscopic retrograde cholangiopancreatography at our facility, and 87 patients were included in this study. Read More

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Side-by-side versus stent-in-stent bilateral stenting for malignant hilar biliary obstruction: a meta-analysis.

Wideochir Inne Tech Maloinwazyjne 2022 Jun 9;17(2):279-288. Epub 2022 Jan 9.

Department of Interventional Therapy, Affiliated Hospital of Gansu Medical College, Pingliang, China.

Introduction: Both side-by-side (SBS) and stent-in-stent (SIS) bilateral stenting have been used for patients with malignant hilar biliary obstruction (MHBO). However, it is unclear which technique is better.

Aim: This meta-analysis is conducted to investigate the clinical efficacy and safety of SBS and SIS bilateral stenting for patients with MHBO. Read More

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Pseudoaneurysm after endoscopic biliary radiofrequency ablation for malignant biliary stricture.

J Gastrointestin Liver Dis 2022 Jun 12;31(2):161. Epub 2022 Jun 12.

Department of Gastroenterology, Aichi Medical University, Nagakute, Aichi, Japan.

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Endoscopic Ultrasound-Guided Biliary Interventions.

Gastrointest Endosc Clin N Am 2022 Jul 11;32(3):507-525. Epub 2022 May 11.

Division of Endosonography, Institute of Digestive and Liver Care, SL Raheja Hospital-A Fortis Associate, Mumbai 400016, India.

Endoscopic ultrasound (EUS)-guided biliary interventions have evolved to become an integral part of advanced gastrointestinal endoscopy units. EUS-guided biliary drainage is an accepted alternative for patients with failed ERCP or altered surgical anatomy. The potential advantages of EUS-guided interventions include choice of biliary access from stomach or duodenum, choice of stent exit in stomach and duodenum, and possibility of avoiding traversing through the obstruction. Read More

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Role of ERCP in Benign Biliary Strictures.

Gastrointest Endosc Clin N Am 2022 Jul 11;32(3):455-475. Epub 2022 May 11.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Centre for Endoscopic Research Therapeutics and Training (CERTT), Università Cattolica Del Sacro Cuore di Roma, Italy.

Benign biliary strictures (BBS) can be associated with several causes, with postoperative and inflammatory strictures representing the most common ones. Endoscopy represents nowadays the first-line treatment in the management of BBS. Endoscopic balloon dilatation, plastic stents placement, fully covered metal stent placement, and magnetic compression anastomosis are the endoscopic techniques available for the treatment of BBS. Read More

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Role of ERCP in Malignant Hilar Biliary Obstruction.

Gastrointest Endosc Clin N Am 2022 Jul 11;32(3):427-453. Epub 2022 May 11.

Department of Medicine, Division of Gastroenterology/Hepatology, Indiana University School of Medicine, Indiana University Health-University Hospital, 550 North University Boulevard, Suite 1634, Indianapolis, IN 46202, USA.

Malignant hilar biliary obstruction (MHO), an aggressive perihilar biliary obstruction caused by cholangiocarcinoma, gallbladder cancer, or other metastatic malignancies, has a poor prognosis. Surgical resection is the only curative treatment method for biliary malignancies. However, most of the patients with MHO cannot undergo surgeries on presentation because of an advanced inoperable state or a poor performance state due to old age or comorbid diseases. Read More

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Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report.

Cureus 2022 Jun 4;14(6):e25662. Epub 2022 Jun 4.

General Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.

Traumatic injuries to the extra-hepatic biliary tract are uncommon and may be suspected intraoperatively by the presence of bile-stained fluid in the subhepatic area. We present a case of injury to the common bile duct in a polytrauma patient. The initial CT scan did not suggest biliary injury. Read More

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Safety and Efficacy of a Large-Bore Biliary Metallic Stent for Malignant Biliary Obstruction.

J Clin Med 2022 May 30;11(11). Epub 2022 May 30.

Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.

Self-expandable metallic stents (SEMSs) are typically inserted in patients with unresectable malignant biliary obstruction. However, SEMSs are susceptible to occlusion. To overcome this issue, we developed a large-bore, dumbbell-shaped, fully covered SEMS (FCSEMS-L) and compared its efficacy and safety with those of a conventional FCSEMS (FCSEMS-C) in patients with malignant biliary obstruction. Read More

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Long-term outcomes and predictors of adverse events of EUS-guided hepatico-gastrostomy for malignant biliary obstruction: Multicenter, retrospective study.

Surg Endosc 2022 Jun 9. Epub 2022 Jun 9.

Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil Songpa-gu, Seoul, 05505, South Korea.

Background And Aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS) may be a feasible and useful alternative in patients with malignant biliary obstruction (MBO) after failed endoscopic retrograde cholangiopancreatography (ERCP). To date, the risk factors for adverse events (AEs) and long-term outcomes of EUS-HGS have not been fully explored according to stent type. Therefore, we evaluated potential risk factors for AEs and long-term outcomes of EUS-HGS. Read More

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Endoscopic Transpapillary Gallbladder Drainage for Recurrent Cholecystitis after Covered Self-expandable Metal Stent Placement for Unresectable Malignant Biliary Obstruction: A Case Report.

Intern Med 2022 Jun 7. Epub 2022 Jun 7.

First Department of Internal Medicine, Gifu University Hospital, Japan.

A 76-year-old woman with advanced pancreatic cancer developed recurrent cholecystitis after covered self-expandable metal stent (CSEMS) placement. The cholecystitis was refractory to repeated percutaneous transhepatic gallbladder drainage (PTGBD). Cholecystography showed a patent cystic duct with right and cranial side bifurcation, which is indicative of an increased likelihood of success of endoscopic transpapillary gallbladder drainage (ETGBD). Read More

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Long-term Outcomes of Combined Endoscopic-Radiological Approach for the Management of Complete Transection of the Biliary Tract.

J Gastrointest Surg 2022 Jun 6. Epub 2022 Jun 6.

Unité de Radiologie Interventionnelle, Hôpital Privé Des Peupliers, Ramsay Santé, Paris, France.

Background: Complete transection of the main bile duct (CTMD) is a major complication during hepato-bilio-pancreatic (HBP) surgery and is associated with high morbidity and mortality. In recent years, a combined endoscopic-radiological approach (CERA) for minimally invasive treatment of CTMD has been introduced, but evidence on its long-term outcomes is limited. Our aim is to report efficacy, safety, and long-term outcomes of CERA for the management of post-surgical CTMD in a tertiary referral center. Read More

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Impact of endobiliary radiofrequency ablation on biliary drainage in patients with malignant biliary strictures treated with uncovered self-expandable metal stents: a randomized controlled multicenter-trial.

Gastrointest Endosc 2022 Jun 3. Epub 2022 Jun 3.

Klinikum Nürnberg, Department of Gastroenterology, Nürnberg, Germany.

Background And Aims: Endobiliary radiofrequency ablation (RFA), usually combined with endoscopic stent insertion, is a simple procedure with the potential to improve stent patency and patient survival in case of malignant biliary obstruction. We conducted this randomized multicenter trial to evaluate the impact of RFA on stent patency.

Methods: 86 patients with malignant biliary obstruction and nonresectable tumors (pancreatic carcinoma, cholangiocarcinoma, or metastases) were included. Read More

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Investigator initiated clinical trial to validate usefulness of specific system for endoscopic ultrasound guided hepaticogastrostomy (HG01) in malignant biliary obstruction (HG01).

Medicine (Baltimore) 2022 Jun 3;101(22):e29408. Epub 2022 Jun 3.

Clinical Study Support Center, Wakayama Medical University, Wakayama, Japan.

Introduction: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is a novel drainage option for patients with an inaccessible papilla. Although EUS-HGS has clinical benefits in patients for whom endoscopic retrograde cholangiopancreatography (ERCP) has failed, the rates of adverse events (AEs) associated with EUS-HGS, such as bile peritonitis and stent migration, are higher than for other procedures. The development of a dedicated system for EUS-HGS is therefore desirable to reduce the rate of AEs. Read More

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Stenting with high-intensity focused ultrasound ablation for distal biliary obstruction caused by pancreatic carcinoma: a meta-analysis.

Prz Gastroenterol 2022 14;17(2):116-122. Epub 2021 Jul 14.

Department of Radiology, Xuzhou Central Hospital, Xuzhou, China.

Introduction: Between 42% and 77% of patients with distal malignant biliary obstruction (MBO) suffer from pancreatic carcinoma (PC).

Aim: To analyse the clinical efficacy of stenting accompanied by high-intensity focused ultrasound (HIFU) ablation in patients with distal MBO from PC.

Material And Methods: Relevant articles published through March 2021 were identified in the Pubmed, Cochrane Library, Embase, Wanfang, VIP, and CNKI databases. Read More

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Efficacy of intraductal placement of nonflared fully-covered metal stent for refractory perihilar benign biliary strictures: A multicenter prospective study with long-term observation.

J Hepatobiliary Pancreat Sci 2022 Jun 3. Epub 2022 Jun 3.

Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.

Background: Endoscopic fully-covered self-expandable metal stents (FCSEMSs) are used to treat benign biliary strictures (BBSs); however, treatment for perihilar BBSs is technically challenging. The aim of this study was to evaluate the usefulness of an unflared FCSEMS designed for intraductal placement in patients with refractory perihilar BBS.

Methods: Twenty-two consecutive patients with perihilar BBS unresolved by endoscopic plastic stent placement at 13 tertiary medical centers were prospectively enrolled. Read More

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Covered self-expandable metal stents for distal biliary obstruction from pancreatic carcinoma: what type of stent is preferred?

Clin Endosc 2022 May 11;55(3):369-371. Epub 2022 May 11.

Division of Gastroenterology and Hepatobiliary and Pancreatic Diseases, Department of Internal Medicine, Hyogo Medical University, Hyogo, Japan.

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Covered Self-Expanding Metal Stents Versus Multiple Plastic Stents for Benign Biliary Strictures: An Updated Meta-Analysis of Randomized Controlled Trials.

Cureus 2022 Apr 29;14(4):e24588. Epub 2022 Apr 29.

Gastroenterology and Hepatology, Tata Memorial Hospital, Mumbai, IND.

Optimal endoscopic management of benign biliary strictures (BBS) has been a matter of debate with choice of stent remaining largely at the discretion of the endoscopist. In this systematic review and meta-analysis, we compared self-expanding metal stents with multiple plastic stents for benign biliary strictures. A comprehensive search of literature from 2000 till September 2021 was done of various databases for randomized controlled trials evaluating stent placement for benign biliary strictures. Read More

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Malignant distal biliary obstruction - palliative treatment-modality of endoscopic stent: metal stent × plastic stent.

Rev Assoc Med Bras (1992) 2022 04;68(4):433-442

Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina, Gastrointestinal Endoscopy Unit - São Paulo (SP), Brazil.

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The Role of Endoscopic Ultrasound-guided Transmural Approach in the Management of Biliary Obstructions.

Surg Laparosc Endosc Percutan Tech 2022 Jun 1;32(3):285-291. Epub 2022 Jun 1.

Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Toruń, Poland.

Background: Transpapillary biliary drainage in endoscopic retrograde cholangiopancreatography (ERCP) is an established method for treatment of patients with benign and malignant biliary obstruction. However, attempts to gain access to the biliary tract through the major duodenal papilla during ERCP have been unsuccessful in some patients. This study aims to determine the role of endoscopic ultrasonography (EUS)-guided transmural approach in biliary endotherapy in case of failed ERCP. Read More

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Use a biodegradable stent in ERCP and it will never be forgotten.

Rev Esp Enferm Dig 2022 May 31. Epub 2022 May 31.

Aparato Digestivo, Hospital General Universitario de Ciudad Real.

The easiest way to drain the bile duct or the main pancreatic duct by means of ERCP is the insertion of a plastic stent. Once cannulation has been achieved, which is generally the most complex and limiting step in ERCP, stent insertion is straightforward and rewarding. The main problem in benign pancreato-biliary conditions comes in the follow-up. Read More

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Biliary metal stents should be placed near the hilar duct in distal malignant biliary stricture patients.

World J Gastroenterol 2022 May;28(17):1860-1870

Department of Gastroenterology, Fukushima Medical University, Fukushima 9601295, Japan.

Background: Endoscopic biliary drainage using a self-expandable metallic stent (SEMS) has been widely performed to treat distal malignant biliary obstruction (DMBO). However, the optimal position of the stent remains unclear.

Aim: To determine the ideal position for SEMS placement. Read More

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Endoscopic Management of Biliary Strictures after Orthotopic Liver Transplantation: A Single Center Experience Study.

Diagnostics (Basel) 2022 May 13;12(5). Epub 2022 May 13.

Department of Gastroenterology, Clinical Emergency Hospital of Bucharest, 105402 Bucharest, Romania.

Background And Aim: Endoscopic therapy is the method of choice in the management of biliary strictures after orthotopic liver transplantation (OLT). Even though the mainstay approach for OLT stricture complications is represented by consecutive procedures of multiple plastic stents (MPS) insertion, a valuable alternative is the use of fully covered self-expandable metal stents (FCSEMS). The aim of the study was to compare MPS with FCSEMS used in the management of OLT biliary strictures, in terms of clinical outcomes and complications. Read More

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Comparison of Duodenal Stenting and Gastrojejunostomy for Duodenal Obstruction with Biliary Obstruction.

J Gastrointest Surg 2022 May 26. Epub 2022 May 26.

Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, 755-8505, Japan.

Background: The best palliation for double obstruction (duodenal obstruction with biliary obstruction) remains unclear. We aimed to compare outcomes of duodenal stenting (DuS) with gastrojejunostomy (GJ) and identify factors associated with survival time and time to recurrent biliary obstruction (TRBO).

Methods: Patients who underwent DuS or GJ combined with biliary stenting for double obstruction due to unresectable malignancy were retrospectively enrolled. Read More

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Feasibility of Cholangioscopy Using Multibending Ultra-Slim Endoscope Through a Lumen-Apposing Metal Stent for Choledochoduodenostomy.

Dig Dis Sci 2022 May 26. Epub 2022 May 26.

Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Cheonan, Korea.

Background And Aims: Endoscopic ultrasound (EUS) guided choledochoduodenostomy using a lumen-apposing metal stent (LAMS) allows access to the biliary system with a sufficiently large diameter stent. However, an appropriate endoscope for this purpose is required. We evaluated the feasibility of per-oral cholangioscopy (POC) using a multibending ultra-slim endoscope through a LAMS for EUS-guided choledochoduodenostomy. Read More

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Preclinical evaluation of endoscopic placement of a steroid-eluting metal stent in an in vivo porcine benign biliary stricture model.

Sci Rep 2022 May 25;12(1):8864. Epub 2022 May 25.

Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonjuro, Gangnam-gu, Seoul, 06273, Republic of Korea.

Treatment of benign biliary strictures (BBS) using fully covered self-expandable metal stents (FCSEMS) has a high success rate, but recurrence can occur. Corticosteroids may be useful based on their anti-fibrotic and anti-inflammatory effects. We investigated the safety and efficacy of corticosteroid-eluting FCSEMS in an animal model. Read More

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