Endoscopic ultrasonography-guided transhepatic antegrade stone removal in patients with surgically altered anatomy: case series and technical review (with videos)

Recently, endoscopic ultrasonography (EUS)‐guided transhepatic antegrade interventions have been introduced in patients with a surgically altered anatomy. Herein, we focused on and reviewed EUS‐guided transhepatic antegrade stone removal (EUS‐TASR) in patients with a surgically altered anatomy and n...

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Veröffentlicht in:Journal of hepato-biliary-pancreatic sciences 2014-12, Vol.21 (12), p.E86-E93
Hauptverfasser: Itoi, Takao, Sofuni, Atsushi, Tsuchiya, Takayoshi, Ijima, Masashi, Iwashita, Takuji
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container_end_page E93
container_issue 12
container_start_page E86
container_title Journal of hepato-biliary-pancreatic sciences
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creator Itoi, Takao
Sofuni, Atsushi
Tsuchiya, Takayoshi
Ijima, Masashi
Iwashita, Takuji
description Recently, endoscopic ultrasonography (EUS)‐guided transhepatic antegrade interventions have been introduced in patients with a surgically altered anatomy. Herein, we focused on and reviewed EUS‐guided transhepatic antegrade stone removal (EUS‐TASR) in patients with a surgically altered anatomy and native papilla. The basic technique of EUS‐TASR involves the following steps: (1) EUS‐guided needle puncture; (2) guidewire placement; (3) tract dilation; (4) balloon sphincteroplasty; (5) stone removal; and (6) stent placement if needed. Based on reports in the literature including our cases, the complete stone extraction rate is 71.4% (10/14) including five of our cases (60% success rate) at one session without serious complications. In conclusion, EUS‐TASR appears to be feasible and useful in selected patients although its application may be limited depending on anatomical factors and current devices used.
doi_str_mv 10.1002/jhbp.165
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged
Aged, 80 and over
Bile duct stone
Cholangiography
Cholangiopancreatography, Endoscopic Retrograde
Cholelithiasis - diagnostic imaging
Cholelithiasis - surgery
Drainage - methods
Endoscopic papillary balloon dilation
Endoscopic ultrasonography
Endoscopic ultrasonography-guided biliary drainage
Endoscopy
Endosonography
Female
Humans
Male
Needles
Punctures
Reoperation
Sphincterotomy, Endoscopic
Stents
Treatment Outcome
Ultrasonic imaging
Ultrasonography, Interventional
title Endoscopic ultrasonography-guided transhepatic antegrade stone removal in patients with surgically altered anatomy: case series and technical review (with videos)
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