Therapeutic value of double endoscopic bypass for malignant gastric outlet obstruction and biliary obstruction (with video)
10.3760/cma.j.cn321463-20210218-00114
- VernacularTitle:内镜超声引导下双旁路手术治疗恶性胃流出道梗阻合并胆道梗阻的疗效分析（含视频）
- Author:
Shanshan SHEN
1
;
Wen LI
;
Wei CAI
;
Xiaoliang ZHOU
;
Ying LYU
;
Xiaoping ZOU
;
Lei WANG
Author Information
1. 南京大学医学院附属鼓楼医院消化内科，南京 210008
- Keywords:
Gastric outlet obstruction;
Biliary obstruction;
Endoscopic ultrasound-guided gastroenterostomy;
Endoscopic ultrasound-guided biliary drainage
- From:
Chinese Journal of Digestive Endoscopy
2022;39(4):290-294
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of double endoscopic bypass, namely endoscopic ultrasound-guided gastroenterostomy (EUS-GE) combined with endoscopic ultrasound-guided biliary drainage (EUS-BD), for malignant gastric outlet and biliary obstruction.Methods:A retrospective analysis was conducted on data of 10 patients with malignant gastric outlet and biliary obstruction who were not suitable for surgery or endoscopic retrograde cholangiopancreatography (ERCP) and treated by double endoscopic bypass in Nanjing Drum Tower Hospital from August 2017 to October 2020. The completion of therapy, clinical efficacy and post-procedure adverse events were analyzed.Results:Ten patients with different malignant cancer successfully underwent EUS-GE and EUS-BD, with procedure time of 60.5±22.3 min (30-100 min). There were no postoperative adverse events. EUS-GE was clinically successful in all 10 cases. Of the 10 EUS-BD cases, 9 were clinically successful, and 1 did not meet the criteria of clinical success. The median follow-up was 71 (37-120) days. None of the 10 patients had recurrent gastric outflow tract obstruction or biliary tract obstruction.Conclusion:Double endoscopic bypass is feasible and effective for patients with malignant gastric outlet and biliary obstruction and without surgery or ERCP opportunity.
