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Safety and efficacy of trans-afferent loop endoscopic ultrasound-guided pancreaticojejunostomy for post pancreaticoduodenectomy anastomotic stricture using the forward-viewing echoendoscope: a retrospective study from Japan.
Sadek, Ahmed; Hara, Kazuo; Okuno, Nozomi; Haba, Shin; Kuwahara, Takamichi; Fukui, Toshitaka; Urata, Minako; Kondo, Takashi; Yamamoto, Yoshitaro; Tachi, Kenneth.
Afiliación
  • Sadek A; Department of Internal Medicine, Faculty of Medicine, Helwan University, Cairo, Egypt.
  • Hara K; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Okuno N; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Haba S; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Kuwahara T; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Fukui T; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Urata M; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Kondo T; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Yamamoto Y; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
  • Tachi K; Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Clin Endosc ; 2024 Aug 26.
Article en En | MEDLINE | ID: mdl-39188116
ABSTRACT
Background/

Aims:

Endoscopic ultrasound (EUS)-guided pancreatic duct drainage is a well-established procedure for managing pancreaticojejunostomy anastomotic strictures (PJAS) post-Whipple surgery. In this study, we examined the effectiveness and safety of EUS-guided pancreaticojejunostomy (EUS-PJS).

Methods:

This retrospective, single-arm study was performed at Aichi Cancer Center Hospital on 10 patients who underwent EUS-guided pancreaticojejunostomy through the afferent jejunal loop using a forward-viewing echoendoscope when endoscopic retrograde pancreatography failed. Our primary endpoint was technical success rate, defined as successful stent insertion. The secondary endpoints were early and late adverse events.

Results:

A total of 10 patients underwent EUS-PJS between February 2019 and October 2023. The technical success rate was 100%. The median procedure time was 23.5 minutes. No remarkable early or late adverse events related to the procedure, except for fever, occurred in two patients. The median follow-up duration was 9.5 months, and the median number of stent exchanges was two. A stent-free state was achieved in three patients.

Conclusions:

EUS-PJS for PJAS management after pancreaticoduodenectomy appears to be an effective and safe procedure with the potential advantages of fewer reinterventions and the creation of a permanent drainage fistula.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Endosc Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación:
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Endosc Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: