Endoscopic ultrasound-guided choledochoduodenostomy and duodenal stenting in patients with unresectable periampullary cancer: one-step procedure by using linear echoendoscope

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorARTIFON, Everson L. A.
dc.contributor.authorFRAZAO, Mariana S. V.
dc.contributor.authorWODAK, Stephanie
dc.contributor.authorCARNEIRO, Fred Olavo A. A.
dc.contributor.authorTAKADA, Jonas
dc.contributor.authorRABELLO, Carolina
dc.contributor.authorAPARICIO, Dayse
dc.contributor.authorMOURA, Eduardo Guimaraes Hourneaux De
dc.contributor.authorSAKAI, Paulo
dc.contributor.authorOTOCH, Jose Pinhata
dc.date.accessioned2013-09-23T16:39:13Z
dc.date.available2013-09-23T16:39:13Z
dc.date.issued2013
dc.description.abstractObjective. Describe a case series of endoscopic ultrasound (EUS)-guided choledochoduodenostomy (BUS-CD) associated with duodenal self-expandable metal stents (SEMS) placement using solely the linear echoendoscope in seven patients with obstructive jaundice and duodenal obstruction due to unresectable periampullary cancer. Material and methods. EUS-CD in the first portion of the duodenum, associated with duodenal SEMS placement was performed in seven patients with unresectable periampullary cancer with obstructive jaundice and invasive duodenal obstruction. Laboratory tests and clinical follow-up were performed until patient's death. The procedure was performed by an experienced endoscopist under conscious sedation. The puncture position was chosen based on EUS evaluation, at the common bile duct (CBD) above the tumor, through the distal part of the duodenal bulb. After that, the needle was withdrawn and a wire-guided needle knife was used to enlarge the site puncture in the duodenal wall. Then, a partially covered SEMS was passed over the guide, through the choledochoduodenal fistula. Duodenal SEMS placement was performed during the same endoscopic procedure. Results. The procedure was performed in seven patients, ranging between 34 and 86 years. Technical success of EUS-CD, by the stent placement, occurred in 100% of the cases. There were no early complications. Duodenal SEMS placement was effective in 100% of the cases that remained alive after a follow-up of 7 and 30 days. Conclusion. The results suggest therapeutic BUS one-step procedure drainage as an alternative for these patients, with good clinical success, feasible technique and safety.
dc.description.indexMEDLINE
dc.identifier.citationSCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, v.48, n.3, p.374-379, 2013
dc.identifier.doi10.3109/00365521.2012.763176
dc.identifier.issn0036-5521
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/1950
dc.language.isoeng
dc.publisherINFORMA HEALTHCARE
dc.relation.ispartofScandinavian Journal of Gastroenterology
dc.rightsrestrictedAccess
dc.rights.holderCopyright INFORMA HEALTHCARE
dc.subjectcholangiography
dc.subjectcholedochostomy
dc.subjectcommon bile duct
dc.subjectdigestive system neoplasms
dc.subjectdrainage/methods
dc.subjectinterventional
dc.subjectjaundice obstructive
dc.subjectneoplasms
dc.subjectstents
dc.subjectultrasonography
dc.subject.othermalignant biliary obstruction
dc.subject.otherprospective randomized-trial
dc.subject.othergastric outlet
dc.subject.otherbile-duct
dc.subject.othertranshepatic cholangiography
dc.subject.otherpalliative biliary
dc.subject.othermetal stents
dc.subject.othercase series
dc.subject.otherdrainage
dc.subject.othercholangiopancreatography
dc.subject.wosGastroenterology & Hepatology
dc.titleEndoscopic ultrasound-guided choledochoduodenostomy and duodenal stenting in patients with unresectable periampullary cancer: one-step procedure by using linear echoendoscope
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalFRAZAO, Mariana S. V.:Univ Sao Paulo, Sch Med, Gastrointestinal Endoscopy Unit, BR-05403000 Sao Paulo, Brazil
hcfmusp.author.externalWODAK, Stephanie:Univ Sao Paulo, Sch Med, Gastrointestinal Endoscopy Unit, BR-05403000 Sao Paulo, Brazil
hcfmusp.author.externalRABELLO, Carolina:Univ Sao Paulo, Sch Med, Gastrointestinal Endoscopy Unit, BR-05403000 Sao Paulo, Brazil
hcfmusp.citation.scopus11
hcfmusp.contributor.author-fmusphcEVERSON LUIZ DE ALMEIDA ARTIFON
hcfmusp.contributor.author-fmusphcFRED OLAVO ARAGAO ANDRADE CARNEIRO
hcfmusp.contributor.author-fmusphcJONAS TAKADA
hcfmusp.contributor.author-fmusphcDAYSE PEREIRA DA SILVA APARICIO
hcfmusp.contributor.author-fmusphcEDUARDO GUIMARAES HOURNEAUX DE MOURA
hcfmusp.contributor.author-fmusphcPAULO SAKAI
hcfmusp.contributor.author-fmusphcJOSE PINHATA OTOCH
hcfmusp.description.beginpage374
hcfmusp.description.endpage379
hcfmusp.description.issue3
hcfmusp.description.volume48
hcfmusp.origemWOS
hcfmusp.origem.pubmed23356602
hcfmusp.origem.scopus2-s2.0-84875739275
hcfmusp.origem.wosWOS:000315313400015
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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