Endoscopic ultrasound guided biliary drainage in patients with biliary obstruction and surgically altered anatomy
10.3760/cma.j.issn.1007-8118.2019.05.011
- VernacularTitle:超声内镜引导下胆道引流治疗手术所致解剖结构异常的胆道梗阻
- Author:
Ping HUANG
1
;
Xiaofeng ZHANG
;
Wen LYU
;
Zhen FAN
;
Haitao HUANG
;
Xia WANG
;
Nan JIANG
;
Sanhong LIANG
Author Information
1. 浙江大学医学院附属杭州市第一人民医院消化内科
- Keywords:
Biliary tract diseases;
Biliary obstruction;
Anatomies,surgically altered;
Biliary drainage,endoscopic ultrasound-guided
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(5):363-366
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of endoscopic ultrasound guided biliary drainage (EUS-BD) in patients with biliary obstruction and surgically altered anatomies.Methods We collected data from 33 patients with biliary obstruction and surgically altered anatomies from January 2016 to January 2018 in Zhejiang University School of Medicine Affiliated Hangzhou First People's Hospital who underwent EUS-guided biliary drainage after unsuccessful ERCP.The operation success rate,clinical success rate,complication rate,hospital stay were studied.Results Of 33 patients,31 were successfully operated and stented using endoscopic ultrasound puncture:14 patients through the stomach,17 patients through the duodenum;8 patients by the rendezvous approach.The operation success rate was 93.9％.Of the 33 patients,28 had a significant decrease in jaundice,with a clinical success rate of 84.9％.Complications consisted of 2 patients with bleeding and 1 patient with cholangitis.These patients improved after conservative treatment.The complications rate was 9.1％.The hospital stay was (12.4±5.7) d.Conclusion EUS-BD can be the first choice for patients with biliary obstruction and surgically altered anatomy after failed endoscopic retrograde cholangiograohv in centers with exoertise in EUS-BD procedures.
