Your browser doesn't support javascript.
loading
Same versus separate sessions of endoscopic ultrasound-guided fine-needle biopsy and endoscopic retrograde cholangiopancreatography for distal malignant biliary obstruction: a propensity score-matched study.
Crinò, Stefano Francesco; Zorzi, Alberto; Tavian, Piero; De Pretis, Nicolò; Facciorusso, Antonio; Dhar, Jahnvi; Samanta, Jayanta; Sina, Sokol; Manfrin, Erminia; Frulloni, Luca; Conti Bellocchi, Maria Cristina.
Afiliación
  • Crinò SF; Department of Medicine, Diagnostic and Interventional Endoscopy of the Pancreas, The Pancreas Institute, University Hospital of Verona, Verona, Italy.
  • Zorzi A; Department of Medicine, Diagnostic and Interventional Endoscopy of the Pancreas, The Pancreas Institute, University Hospital of Verona, Verona, Italy.
  • Tavian P; Department of Medicine, Diagnostic and Interventional Endoscopy of the Pancreas, The Pancreas Institute, University Hospital of Verona, Verona, Italy.
  • De Pretis N; Department of Medicine, Diagnostic and Interventional Endoscopy of the Pancreas, The Pancreas Institute, University Hospital of Verona, Verona, Italy.
  • Facciorusso A; Department Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
  • Dhar J; Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Samanta J; Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Sina S; Department of Pathology and Diagnostics, University Hospital of Verona, Verona, Italy.
  • Manfrin E; Department of Pathology and Diagnostics, University Hospital of Verona, Verona, Italy.
  • Frulloni L; Department of Medicine, Diagnostic and Interventional Endoscopy of the Pancreas, The Pancreas Institute, University Hospital of Verona, Verona, Italy.
  • Conti Bellocchi MC; Department of Medicine, Diagnostic and Interventional Endoscopy of the Pancreas, The Pancreas Institute, University Hospital of Verona, Verona, Italy.
Expert Rev Gastroenterol Hepatol ; 18(9): 551-559, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39222013
ABSTRACT

BACKGROUND:

Same-session endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) is an attractive policy for patients with distal malignant biliary obstruction (DMBO) requiring fine-needle biopsy (FNB) and biliary drainage. However, scanty and conflicting data exists regarding safety and efficacy when comparing these two procedures performed in same versus separate sessions.

METHODS:

Single-center, retrospective, propensity score-matched study including patients with DMBO who underwent EUS-FNB followed by ERCP during the same or separate sessions. The primary outcome was the safety of the procedure [number of patients experiencing adverse events (AEs), overall AEs, its severity, post-ERCP pancreatitis (PEP)]. Secondary outcomes were successful ERCP, use of advanced cannulation techniques, EUS-FNB adequacy, length of hospital stay, overall procedure time, and time to recurrent biliary obstruction.

RESULTS:

After propensity matching, 87 patients were allocated to each group. AEs developed in 23 (26.4%) vs. 17 (19.5%) patients in the same and separate sessions group, respectively (p = 0.280). The overall number, the severity of AEs, and the rate of PEP were similar in the two groups. Secondary outcome parameters were also comparable in the 2 groups.

CONCLUSIONS:

Same-session EUS-FNB followed by ERCP with biliary drainage is safe and does not impair technical outcomes of tissue adequacy and biliary cannulation.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Drenaje / Colestasis / Colangiopancreatografia Retrógrada Endoscópica / Puntaje de Propensión / Biopsia por Aspiración con Aguja Fina Guiada por Ultrasonido Endoscópico Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Expert Rev Gastroenterol Hepatol Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Drenaje / Colestasis / Colangiopancreatografia Retrógrada Endoscópica / Puntaje de Propensión / Biopsia por Aspiración con Aguja Fina Guiada por Ultrasonido Endoscópico Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Expert Rev Gastroenterol Hepatol Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido