Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, and Chiara Coluccio, MD, from the Gastroenterology Department, Morgagni-Pierantoni Hospital, Forlì, Italy. Our study delves into the pivotal topic of biliary stent selection in the management of distal malignant biliary obstruction (dMBO). Specifically, we compared outcomes of …
Tag: biliary obstruction
Needle-knife incision and drainage of duodenal intramural hematoma relieving duodenal and biliary obstruction
Post written by Bakht S. Cheema, MD, from Digestive Disease Consultants, and Yusuke Hashimoto, MD, MMA, from the University of Florida Health, Jacksonville, Florida, USA. A 44-year-old man presented with postprandial vomiting and jaundice. He had an episode of acute-on-chronic pancreatitis complicated with a pseudocyst and a spontaneous large duodenal intramural hemorrhage causing duodenal luminal obstruction …
EUS-guided choledochoantrostomy as an alternative for biliary decompression in malignant distal biliary obstruction with duodenal invasion
Post written by Ahmed Altonbary, MD, FRCP, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of unresectable pancreatic cancer with extrahepatic biliary obstruction and duodenal invasion that was successfully treated with a variant of EUS-guided biliary drainage by performing EUS-guided choledochoantrostomy (EUS-CAS). EUS-guided choledochoduodenostomy (EUS-CDS) is commonly performed for biliary decompression …
Top tips for endoscopic biliary stenting for hilar obstruction
Post written by Ryan Law, DO, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of this manuscript was very simple. I aimed to identify what I believe are the most important pearls for successful endoscopic management of patients with biliary hilar obstruction. The goal was to simplify this topic into …
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Effect of ursodeoxycholic acid after self-expandable metal stent placement in malignant distal biliary obstruction: a propensity score–matched cohort analysis
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We reported on the evaluation of ursodeoxycholic acid (UDCA) for different self-expandable metal stent (SEMS) types in malignant distal biliary obstruction (MDBO) with a multicenter retrospective study design using propensity score—matched cohort analysis. The non-UDCA group had significantly …
Access balloon catheter for direct peroral cholangioscopy
Yun Nah Lee, MD, and colleagues from the Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, in Bucheon and Seoul, Korea discuss this New Methods article "A newly modified access balloon catheter for direct peroral cholangioscopy by using an ultraslim upper endoscope (with videos)." Direct peroral cholangioscopy (POC) …
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Cholecystoduodenostomy and duodenal stenting
Ryan Law, DO, from Northwestern University, Feinberg School of Medicine, in Chicago, Illinois, USA presents this video case "Cholecystoduodenostomy and duodenal stenting for relief of biliary and gastric outlet obstruction." Our case describes the placement of a lumen-apposing stent into the gallbladder followed by placement of an uncovered metal duodenal stent for palliation in a …
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Comparing outcomes of 2 nonanatomic EUS-guided BD routes after failed ERCP
Everson L.A. Artifon, MD, FASGE from the Department of Surgery at the University of Sao Paulo in Sao Paulo, Brazil discusses his Original Article "Hepaticogastrostomy or choledochoduodenostomy for distal malignant biliary obstruction after failed ERCP: Is there any difference?" The study demonstrated that both hepaticogastrostomy (HG) and choledochoduodenostomy (CDT) are feasible to create an EUS-guided fistula …
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Rendezvous versus direct transluminal techniques for malignant biliary obstruction
Payal Saxena, MD, from Johns Hopkins University in Baltimore, Maryland writes about her Original Article titled "EUS-guided biliary drainage by using a standardized approach for malignant biliary obstruction: rendezvous versus direct transluminal techniques (with videos)" from the November issue. The aim of this study was to assess outcomes of EUS-guided biliary drainage (EGBD) performed using …
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