Endoscopic ultrasound-guided biliary intervention inpatients with surgically altered anatomy

• 作者: Aroon Siripun Pimsiri Sripongpun Bancha Ovartlarnporn
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: ENDOSCOPIC ULTRASOUND-GUIDED anterogradeapproach ENDOSCOPIC ULTRASOUND-GUIDED BILIARY drainage ENDOSCOPIC ULTRASOUND-GUIDED CHOLEDOCHODUODENOSTOMY ENDOSCOPIC ULTRASOUND-GUIDED hepaticogastrostomy ENDOSCOPIC ultrasound-rendezvous technique Surgicallyaltered ANATOMY Overtube-assisted enteroscopy-endoscopicretrograde cholangiopancreatography
• 年，卷（期）: 2015,（3）
• 页码范围: 283-289
• 页数: 7页
• 分类号: R

摘要

AIM To evaluate the efficacy of endoscopic ultrasoundguided biliary drainage （EUS-BD） in patients withsurgically altered anatomies.METHODS： We performed a search of the MEDLINEdatabase for studies published between 2001 to July2014 reporting on EUS-BD in patients with surgicallyaltered anatomy using the terms ＂EUS drainage＂ and＂altered anatomy＂. All relevant articles were accessedin full text. A manual search of the reference lists ofrelevant retrieved articles was also performed. Only fulltextEnglish papers were included. Data regarding age,gender, diagnosis, method of EUS-BD and intervention,type of altered anatomy, technical success, clinicalsuccess, and complications were extracted andcollected. Anatomic alterations were categorized as：group 1, Billroth Ⅰ; group 2, Billroth Ⅱ; group 4, Rouxen-Y with gastric bypass; and group 3, all other types.RESULTS： Twenty three articles identified in theliterature search, three reports were from the samegroup with different numbers of cases. In total, 101cases of EUS-BD in patients with altered anatomy wereidentified. Twenty-seven cases had no information andwere excluded. Seventy four cases were included foranalysis. Data of EUS-BD in patients categorized asgroup 1, 2 and 4 were limited with 2, 3 and 6 caseswith EUS-BD done respectively. Thirty four cases withEUS-BD were reported in group 3. The pooled technicalsuccess, clinical success, and complication rates ofall reports with available data were 89.18%, 91.07%and 17.5%, respectively. The results are similar to thereported outcomes of EUS-BD in general, however, withlimited data of EUS-BD in patients with altered anatomyrendered it difficult to draw a firm conclusion.CONCLUSION： EUS-BD may be an option for patientswith altered anatomy after a failed endoscopic-retrogradecholangiographyin centers with expertise in EUS-BDprocedures in a research setting.