EUS-Guided Biliary Drainage Versus ERCP in Malignant Biliary Obstruction Before Hepatobiliary Surgery
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | TYBERG, Amy | |
dc.contributor.author | SARKAR, Avik | |
dc.contributor.author | SHAHID, Haroon M. | |
dc.contributor.author | SHAH-KHAN, Sardar M. | |
dc.contributor.author | GAIDHANE, Monica | |
dc.contributor.author | SIMON, Alexa | |
dc.contributor.author | EISENBERG, Ian A. | |
dc.contributor.author | LAJIN, Michael | |
dc.contributor.author | KARAGYOZOV, Petko | |
dc.contributor.author | LIAO, Kelvin | |
dc.contributor.author | PATEL, Roohi | |
dc.contributor.author | ZHAO, Eric | |
dc.contributor.author | MARTINEZ, Ma Guadalupe | |
dc.contributor.author | ARTIFON, Everson L. | |
dc.contributor.author | LINO, Andre D. | |
dc.contributor.author | VANELLA, Giuseppe | |
dc.contributor.author | ARCIDIACONO, Paolo G. | |
dc.contributor.author | KAHALEH, Michel | |
dc.date.accessioned | 2023-12-15T18:59:04Z | |
dc.date.available | 2023-12-15T18:59:04Z | |
dc.date.issued | 2023 | |
dc.description.abstract | Introduction:Endoscopic ultrasound-guided biliary drainage (EUS-BD) is the procedure of choice for patients who cannot undergo endoscopic retrograde cholangiopancreatography (ERCP). The outcomes of patients undergoing surgery after EUS-BD for malignancy are unknown.Methods:We conducted an international, multicenter retrospective comparative study of patients who underwent hepatobiliary surgery after having undergone EUS-BD or ERCP from 6 tertiary care centers. Patient demographics, procedural data, and follow-up care were collected in a registry.Results:One hundred forty-five patients were included: EUS-BD n=58 (mean age 66, 45% male), ERCP n=87 (mean age 68, 53% male). The majority of patients had pancreatic cancer, cholangiocarcinoma, or gallbladder malignancy. In the EUS-BD group, 29 patients had hepaticogastrostomy, 24 had choledochoduodenostomy, and 5 had rendezvous technique done. The most common surgery was Whipple in both groups (n=41 EUS-BD, n=56 ERCP) followed by partial hepatectomy (n=7 EUS-BD, n=14 ERCP) and cholecystectomy (n=2 EUS-BD, n=2 ERCP). Endoscopy clinical success was comparable in both groups (98% EUS-BD, 94% ERCP). Adverse event rates were similar in both groups: EUS-BD (n=10, 17%) and ERCP (n=23, 26%). Surgery technical success and clinical success were significantly higher in the EUS-BD group compared with the ERCP group (97% vs. 83%, 97% vs. 75%). Total Hospital stay from surgery to discharge was significantly higher in the ERCP group (19 d vs. 10 d, P=0.0082).Discussion:Undergoing EUS-BD versus ERCP before hepatobiliary surgery is associated with fewer repeat endoscopic interventions, shorter duration between endoscopy and surgical intervention, higher rates of surgical clinical success, and shorter length of hospital stay after surgery. | eng |
dc.description.index | MEDLINE | |
dc.description.index | PubMed | |
dc.description.index | WoS | |
dc.description.index | Scopus | |
dc.identifier.citation | JOURNAL OF CLINICAL GASTROENTEROLOGY, v.57, n.9, p.962-966, 2023 | |
dc.identifier.doi | 10.1097/MCG.0000000000001795 | |
dc.identifier.eissn | 1539-2031 | |
dc.identifier.issn | 0192-0790 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/57617 | |
dc.language.iso | eng | |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | eng |
dc.relation.ispartof | Journal of Clinical Gastroenterology | |
dc.rights | restrictedAccess | eng |
dc.rights.holder | Copyright LIPPINCOTT WILLIAMS & WILKINS | eng |
dc.subject | EUS-BD | eng |
dc.subject | ERCP | eng |
dc.subject | malignancy | eng |
dc.subject | biliary obstruction | eng |
dc.subject | surgery | eng |
dc.subject | Whipple | eng |
dc.subject.wos | Gastroenterology & Hepatology | eng |
dc.title | EUS-Guided Biliary Drainage Versus ERCP in Malignant Biliary Obstruction Before Hepatobiliary Surgery | eng |
dc.type | article | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | Bulgária | |
hcfmusp.affiliation.country | Estados Unidos | |
hcfmusp.affiliation.country | México | |
hcfmusp.affiliation.country | Itália | |
hcfmusp.affiliation.countryiso | us | |
hcfmusp.affiliation.countryiso | bg | |
hcfmusp.affiliation.countryiso | mx | |
hcfmusp.affiliation.countryiso | it | |
hcfmusp.author.external | TYBERG, Amy:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | SARKAR, Avik:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | SHAHID, Haroon M.:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | SHAH-KHAN, Sardar M.:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | GAIDHANE, Monica:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | SIMON, Alexa:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | EISENBERG, Ian A.:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | KARAGYOZOV, Petko:Acibadem City Clin Tokuda Hosp, Sofia, Bulgaria | |
hcfmusp.author.external | LIAO, Kelvin:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | PATEL, Roohi:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | ZHAO, Eric:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA | |
hcfmusp.author.external | MARTINEZ, Ma Guadalupe:Juarez Hosp, Mexico City, Mexico | |
hcfmusp.author.external | VANELLA, Giuseppe:MILAN Hosp, Milan, Italy | |
hcfmusp.author.external | ARCIDIACONO, Paolo G.:Juarez Hosp, Mexico City, Mexico | |
hcfmusp.author.external | KAHALEH, Michel:Univ Med & Dent New Jersey, Gastroenterol, New Brunswick, NJ 08901 USA; Rutgers Robert Wood Johnson Med Sch, New Brunswick, NJ 08901 USA | |
hcfmusp.citation.scopus | 8 | |
hcfmusp.contributor.author-fmusphc | EVERSON LUIZ DE ALMEIDA ARTIFON | |
hcfmusp.contributor.author-fmusphc | ANDRE DE ARIMATEIA DE SOUZA LINO | |
hcfmusp.description.beginpage | 962 | |
hcfmusp.description.endpage | 966 | |
hcfmusp.description.issue | 9 | |
hcfmusp.description.volume | 57 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | 36730114 | |
hcfmusp.origem.scopus | 2-s2.0-85160680830 | |
hcfmusp.origem.wos | WOS:001073956700017 | |
hcfmusp.publisher.city | PHILADELPHIA | eng |
hcfmusp.publisher.country | USA | eng |
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hcfmusp.scopus.lastupdate | 2024-05-17 | |
relation.isAuthorOfPublication | 82374e02-2d45-48de-8438-7a7d3cb45192 | |
relation.isAuthorOfPublication | ab3206ff-434c-479d-9df4-c285d2dcac4f | |
relation.isAuthorOfPublication.latestForDiscovery | 82374e02-2d45-48de-8438-7a7d3cb45192 |
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