Technical tips of endoscopic ultrasound-guided choledochoduodenostomy
Endoscopic ultrasound(EUS) is clinically useful not only as a diagnostic tool during EUS-guided fine needle aspiration,but also during interventional EUS.EUS-guided biliary drainage has been developed and performed by experienced endoscopists.EUS-guided choledocoduodenostomy(EUS-CDS) is relatively w...
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Veröffentlicht in: | World journal of gastroenterology : WJG 2015-01, Vol.21 (3), p.820-828 |
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description | Endoscopic ultrasound(EUS) is clinically useful not only as a diagnostic tool during EUS-guided fine needle aspiration,but also during interventional EUS.EUS-guided biliary drainage has been developed and performed by experienced endoscopists.EUS-guided choledocoduodenostomy(EUS-CDS) is relatively well established as an alternative biliary drainage method for biliary decompression in patients with biliary obstruction.The reported technical success rate of EUS-CDS ranges from 50% to 100%,and the clinical success rate ranges from 92% to 100%.Further,the over-all technicalsuccess rate was 93%,and clinical success rate was 98%.Based on the currently available literature,the overall adverse event rate for EUS-CDS is 16%.The data on the cumulative technical and clinical success rate for EUS-CDS is promising.However,EUS-CDS can still lead to several problems,so techniques or devices that are more feasible and safe need to be established.EUS-CDS has the potential to become a first-line biliary drainage procedure,although standardizing the technique in multicenter clinical trials and comparisons with endoscopic biliary drainage by randomized clinical trials are still needed. |
doi_str_mv | 10.3748/wjg.v21.i3.820 |
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All rights reserved. 2015</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-21e931b70cbe764992c9ac1223bd64ae866d96a3d6e4fe1c9a11cebfdf665a513</citedby><cites>FETCH-LOGICAL-c500t-21e931b70cbe764992c9ac1223bd64ae866d96a3d6e4fe1c9a11cebfdf665a513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299334/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299334/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25624715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogura, Takeshi</creatorcontrib><creatorcontrib>Higuchi, Kazuhide</creatorcontrib><title>Technical tips of endoscopic ultrasound-guided choledochoduodenostomy</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>Endoscopic ultrasound(EUS) is clinically useful not only as a diagnostic tool during EUS-guided fine needle aspiration,but also during interventional EUS.EUS-guided biliary drainage has been developed and performed by experienced endoscopists.EUS-guided choledocoduodenostomy(EUS-CDS) is relatively well established as an alternative biliary drainage method for biliary decompression in patients with biliary obstruction.The reported technical success rate of EUS-CDS ranges from 50% to 100%,and the clinical success rate ranges from 92% to 100%.Further,the over-all technicalsuccess rate was 93%,and clinical success rate was 98%.Based on the currently available literature,the overall adverse event rate for EUS-CDS is 16%.The data on the cumulative technical and clinical success rate for EUS-CDS is promising.However,EUS-CDS can still lead to several problems,so techniques or devices that are more feasible and safe need to be established.EUS-CDS has the potential to become a first-line biliary drainage procedure,although standardizing the technique in multicenter clinical trials and comparisons with endoscopic biliary drainage by randomized clinical trials are still needed.</description><subject>Choledochostomy - adverse effects</subject><subject>Choledochostomy - instrumentation</subject><subject>Choledochostomy - methods</subject><subject>Cholestasis - diagnosis</subject><subject>Cholestasis - therapy</subject><subject>Decompression - adverse effects</subject><subject>Decompression - instrumentation</subject><subject>Decompression - methods</subject><subject>Drainage - adverse effects</subject><subject>Drainage - instrumentation</subject><subject>Drainage - methods</subject><subject>Endoscopes, Gastrointestinal</subject><subject>Endoscopic</subject><subject>Endoscopy, Digestive System</subject><subject>Endosonography - instrumentation</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Minireviews</subject><subject>Patient Selection</subject><subject>Predictive Value of Tests</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional - instrumentation</subject><subject>ultrasound;Endoscopic</subject><subject>ultrasoundguided</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1r3DAQhkVoaLZJrzkWH3uxq29Ll0JZ0rQQyCU5C1kae7V4pY1lb8m_r8JullaXEcwz7wwPQrcEN6zl6tuf7dAcKGkCaxTFF2hFKdE1VRx_QCuCcVtrRtsr9CnnLcaUMUE_oisqJOUtESt09wRuE4OzYzWHfa5SX0H0Kbu0D65axnmyOS3R18MSPPjKbdIIPpXil-Qhpjyn3esNuuztmOHzqV6j5593T-tf9cPj_e_1j4faCYznmhLQjHQtdh20kmtNnbaOUMo6L7kFJaXX0jIvgfdASpMQB13veymFFYRdo-_H3P3S7cA7iOW-0eynsLPTq0k2mP87MWzMkA6GU60Z4yXg6ylgSi8L5NnsQnYwjjZCWrIhUjKlpZaioM0RdVPKeYL-vIZg8-beFPemuDeBmeK-DHz597gz_i67AOyUuElxeAlxODMaq7enBeaKa8G4EqT8lGjZX_X_ks0</recordid><startdate>20150121</startdate><enddate>20150121</enddate><creator>Ogura, Takeshi</creator><creator>Higuchi, Kazuhide</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150121</creationdate><title>Technical tips of endoscopic ultrasound-guided choledochoduodenostomy</title><author>Ogura, Takeshi ; Higuchi, Kazuhide</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-21e931b70cbe764992c9ac1223bd64ae866d96a3d6e4fe1c9a11cebfdf665a513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Choledochostomy - adverse effects</topic><topic>Choledochostomy - instrumentation</topic><topic>Choledochostomy - methods</topic><topic>Cholestasis - diagnosis</topic><topic>Cholestasis - therapy</topic><topic>Decompression - adverse effects</topic><topic>Decompression - instrumentation</topic><topic>Decompression - methods</topic><topic>Drainage - adverse effects</topic><topic>Drainage - instrumentation</topic><topic>Drainage - methods</topic><topic>Endoscopes, Gastrointestinal</topic><topic>Endoscopic</topic><topic>Endoscopy, Digestive System</topic><topic>Endosonography - instrumentation</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Minireviews</topic><topic>Patient Selection</topic><topic>Predictive Value of Tests</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional - instrumentation</topic><topic>ultrasound;Endoscopic</topic><topic>ultrasoundguided</topic><toplevel>online_resources</toplevel><creatorcontrib>Ogura, Takeshi</creatorcontrib><creatorcontrib>Higuchi, Kazuhide</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogura, Takeshi</au><au>Higuchi, Kazuhide</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Technical tips of endoscopic ultrasound-guided choledochoduodenostomy</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2015-01-21</date><risdate>2015</risdate><volume>21</volume><issue>3</issue><spage>820</spage><epage>828</epage><pages>820-828</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>Endoscopic ultrasound(EUS) is clinically useful not only as a diagnostic tool during EUS-guided fine needle aspiration,but also during interventional EUS.EUS-guided biliary drainage has been developed and performed by experienced endoscopists.EUS-guided choledocoduodenostomy(EUS-CDS) is relatively well established as an alternative biliary drainage method for biliary decompression in patients with biliary obstruction.The reported technical success rate of EUS-CDS ranges from 50% to 100%,and the clinical success rate ranges from 92% to 100%.Further,the over-all technicalsuccess rate was 93%,and clinical success rate was 98%.Based on the currently available literature,the overall adverse event rate for EUS-CDS is 16%.The data on the cumulative technical and clinical success rate for EUS-CDS is promising.However,EUS-CDS can still lead to several problems,so techniques or devices that are more feasible and safe need to be established.EUS-CDS has the potential to become a first-line biliary drainage procedure,although standardizing the technique in multicenter clinical trials and comparisons with endoscopic biliary drainage by randomized clinical trials are still needed.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>25624715</pmid><doi>10.3748/wjg.v21.i3.820</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Choledochostomy - adverse effects Choledochostomy - instrumentation Choledochostomy - methods Cholestasis - diagnosis Cholestasis - therapy Decompression - adverse effects Decompression - instrumentation Decompression - methods Drainage - adverse effects Drainage - instrumentation Drainage - methods Endoscopes, Gastrointestinal Endoscopic Endoscopy, Digestive System Endosonography - instrumentation Equipment Design Humans Minireviews Patient Selection Predictive Value of Tests Risk Factors Treatment Outcome Ultrasonography, Interventional - instrumentation ultrasound Endoscopic ultrasoundguided |
title | Technical tips of endoscopic ultrasound-guided choledochoduodenostomy |
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