A One-step Procedure by Using Linear Echoendoscope to Perform EUS-guided Choledochoduodenostomy and Duodenal Stenting in Patients with Irresectable Periampullary Cancer

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art_REBELLO_A_Onestep_Procedure_by_Using_Linear_Echoendoscope_to_2012.PDF (1.15 MB)
Citações na Scopus
6
Tipo de produção
article
Data de publicação
2012
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRING MEDIA
Autores
Citação
ENDOSCOPIC ULTRASOUND, v.1, n.3, p.156-161, 2012
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: Endoscopic ultrasound-guided choledochoduodenostomy (BUS-CD) has become an alternative method after unsuccessful endoscopic retrograde cholangiopancreatography (ERCP) treatment. We present a case series study and its feasibility by using only a linear therapeutic channel echoendoscope to create both a biliary-enteral fistula and anatomic enteral recanalization. Methods: We presented seven cases of unresectable periampullary cancer with both biliary and duodenal obstruction. In these cases, the BUS-guided technique might be an alternative to double stenting (biliary and enteral) in the same procedure and equipment. Results: In all cases, the location of the biliary obstruction was in the distal common bile duct (CBD) and the grade of proximal dilation diameter varied from 15 mm to 20 mm. Two patients had type I (28.6%) and five had type II (71.4%) duodenal obstruction. Technical success of BUS-CD, by the stent placement, occurred in 100% of the cases. There were no early complications. Biliary drainage was effective clinically as well as in laboratory in 6 cases (6/7), by relieving obstructive jaundice and decreasing bilirubin levels. Conclusion: BUS equipment may offer an alternative to double stenting in the same procedure and with palliative propose.
Palavras-chave
endoscopic retrograde cholangiopancreatography, endoscopic ultrasound, choledochoduodenostomy, periampullary cancer
URI
https://observatorio.fm.usp.br/handle/OPI/16059
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/26
Artigos e Materiais de Revistas Científicas - LIM/55