EUS-guided rendezvous for malignant obstructive jaundice after failured ERCP
10.3969/j.issn.1007-1989.2017.07.005
- VernacularTitle:超声内镜引导下对接技术治疗经内镜逆行胰胆管造影术失败的恶性梗阻性黄疸的疗效研究
- Author:
Hao ZHANG
;
Ping HUANG
;
Xiaofeng ZHANG
;
Wen Lü
;
Zhen FAN
;
Haitao HUANG
;
Songmei LOU
;
Xia WANG
- Keywords:
malignant obstructive jaundice;
EUS-guided rendezvous;
ERCP failed
- From:
China Journal of Endoscopy
2017;23(7):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the therapeutic effect of EUS-guided rendezvous (EUS-RV) when ERCP failed in patients with malignant obstructive jaundice. Methods 12 cases of malignant obstructive jaundice patients were underwent EUS-RV after unsuccessful ERCP. The operation success rate, liver function recovery 1 week and 1 month after operation, complication rates, hospital stay and patient survival were observed. Results All 12 patients were successfully operated and placed stents by endoscopic ultrasound puncture following by ERCP: 8 patients by the stomach, 4 patients by duodenum, the operation success rate was 100.00%; There were significant difference between the liver function recovery of preoperative and postoperative one week or postoperative one week and postoperative one month (P < 0.05). 1 bleeding occurred and were improved after conservative treatment, the complications rate was 8.33%; the hospital stay was (20.68 ± 5.76) d; the average survival time of patients was 224 d. Conclusion EUS-guided rendezvous may be the alternative treatment due to the diminutive trauma and good effect when ERCP failed in patients with malignant obstructive jaundice.
