Introduction
EUS-transluminal biliary drainage
Summary of the procedure
Actual technique
Literature review and assessment
References | Access route (n) | Access method | Dilation method | Stent | Technical success rate, % (n) | Early complication rate, % (n) | Complications, n
|
---|---|---|---|---|---|---|---|
Giovannini et al. [4] | CDS (1) | NK | BD | PS | 100 (1/1) | 0 (0/1) | None |
Burmester et al. [5] | CDS (2) | Fistulotome | None | PS | 50 (1/2) | 50 (1/2) | Bile peritonitis 1 |
Puspok et al. [6] | CDS (5) | NK | None | PS | 80 (4/5) | 0 (0/5) | None |
Yamao et al. [7] | CDS (2) | NK | BD | PS | 100 (2/2) | 0 (0/2) | None |
Fujita et al. [8] | CDS (1) | 19G | BD | PS | 100 (1/1) | 0 (0/1) | None |
Ang et al. [9] | CDS (2) | 19G | NK, BD | PS | 100 (2/2) | 50 (1/2) | Pneumoperitoneum 1 |
Tarantino et al. [10] | CDS (4) | 19G, 22G | NK, balloon | PS | 100 (4/4) | 0 (0/4) | None |
Yamao et al. [11] | CDS (5) | NK | BD | PS | 100 (5/5) | 20 (1/5) | Pneumoperitoneum 1 |
Itoi et al. [12] | CDS (4) | 19G, NK | BD | PS, NBD | 100 (4/4) | 25 (1/4) | Bile peritonitis 1 |
Brauer et al. [13] | CDS (3) | 19G, 22G | NK | PS | 100 (3/3) | 33 (1/3) | Pneumoperitoneum 1 |
Horaguchi et al. [14] | CDS (8) | 19G | BD, balloon | PS, NBD | 100 (8/8) | 13 (1/8) | Peritonitis 1 |
Hanada et al. [15] | CDS (4) | 19G | BD | PS | 100 (4/4) | 0 (0/4) | None |
Park et al. [16] | CDS (4), CGS (1) | 19G | NK, BD | CMS | 100 (5/5) | 0 (0/5) | None |
Iwamuro et al. [17] | CDS (5) | NK | BD | PS | 100 (5/5) | 20 (1/5) | Severe abdominal pain and fever 1 |
Siddiqui et al. [18] | CDS (8) | 19G | NK | CMS | 100 (8/8) | 25 (2/8) | Duodenal perforation 1, abdominal pain 1 |
Belletrutti et al. [19] | CDS (4) | 19G | Balloon | PS, CMS | 100 (4/4) | 0 (0/4) | None |
Hara et al. [20] | CDS (18) | NK | BD | PS | 94 (17/18) | 17 (3/18) | Peritonitis 2, hemobilia 1 |
Komaki et al. [21] | CDS (15) | 19G, NK | BD | PS | 93 (14/15) | 47 (7/15) | Cholangitis 4, peritonitis 2, stent migration 1 |
Ramirez-Luna et al. [22] | CDS (9) | 19G | NK, BD, balloon | PS | 89 (8/9) | 11 (1/9) | Biloma |
Park et al. [23] | CDS (24) | 19G | NK, BD | PS, CMS | 92 (24/26) | 19 (5/26) | n/a |
Fabbri et al. [24] | CDS (15) | 19G | NK, balloon | CMS | 80 (12/15) | 7 (1/15) | Pneumoperitoneum 1 |
Kawakubo et al. [25] | CDS (1) | 19G | BD, balloon | PS | 100 (2/2) | 0 (1/1) | None |
Katanuma et al. [26] | CDS (1) | 19G | NK, BD | PS | 100 (1/1) | 0 (0/1) | None |
Attasaranya et al. [27] | CDS (9) | 19G | BD | PS, CMS | 56 (5/9) | 44 (4/9) | n/a |
Artifon et al. [28] | CDS (13) | 19G | NK, BD | CMS | 100 (13/13) | 15 (2/13) | Bleeding 1, bile leak 1 |
Kim et al. [29] | CDS (9) | 19G | NK, BD | CMS | 100 (9/9) | 50 (5/10) | Pneumoperitoneum 2, migration 2, peritonitis 1 |
Song et al. [30] | CDS (15) | 19G | NK, BD | CMS | 87 (13/15) | 23 (3/15) | Pneumoperitoneum 2, cholangitis 1 |
Vila et al. [31] | CDS (26) | n/a | n/a | n/a | 86 (19/26) | 15 (4/26) | Biloma 1, bleeding 1, pancreatitis 1, cholangitis 1 |
Tonozuka et al. [32] | CDS (4) CGS (1) | 19G | BD, balloon, DS | CMS | 100 (5/5) | 0 (0/5) | None |
Khashab et al. [33] | CDS (15) | 19G, 22G | BD, balloon | PS, CMS | 100 (20/20) | n/a (n/a) | n/a |
Kawakubo et al. [34] | CDS (44) | 19G, NK | BD, balloon, SR, DS | PS, CMS | 95 (42/44) | 14 (6/44) | Bile leak 3, stent misplacement 1, bleeding 1, pneumoperitoneum 1, perforation 1 |
Hara et al. [35] | CDS (18) | NK | BD | CMS | 94 (17/18) | 11 (2/18) | Peritonitis 2 |
Overall | 94 (282/300) | 19 (53/280) |
References | Access route (n) | Access method | Dilation method | Stent | Technical success rate, % (n) | Early complication rate, % (n) | Complications, n
|
---|---|---|---|---|---|---|---|
Burmester et al. [5] | HGS (1), HJS (1) | Fistulotome | None | PS | 100 (2/2) | 0 (0/2) | None |
Giovannini et al. [36] | HGS (1) | 19G | NK | PS | 100 (1/1) | 0 (0/1) | None |
Artifon et al. [37] | HGS (1) | 19G | BD, balloon | CMS | 100 (1/1) | 0 (0/1) | None |
Will et al. [38] | HES (1), HGS (4), HJS (3) | 19G | BD, balloon | PS, CMS | 88 (7/8) | 25 (2/8) | Cholangitis and pain 1, pain 1 |
Bories et al. [39] | HGS (11) | 19G, 22G | Cystotome | PS, CMS | 91 (10/11) | 36 (4/11) | Early stent occlusion 1, transient ileus 1, biloma 1, cholangitis 1 |
Park et al. [16] | HGS (8), HES (1) | 19G | BD, NK | CMS | 100 (9/9) | 22 (2/9) | Pneumoperitoneum 2 |
Iwamuro et al. [17] | HGS (2) | NK | BD | PS | 100 (2/2) | 50 (1/2) | Bile leak and pneumoperitoneum 1 |
Park et al. [40] | HGS (5) | NK | BD | CMS | 100 (5/5) | 0 (0/5) | None |
Belletrutti et al. [19] | HGS (3) | 19G | Balloon | PS, CMS | 67 (2/3) | 0 (0/3) | None |
Ramirez-Luna et al. [22] | HGS (2) | 19G | NK, BD | PS | 100 (2/2) | 50 (1/2) | Stent migration 1 |
Park et al. [23] | HGS (31) | 19G | NK, BD | PS, CMS | 100 (31/31) | 19 (6/31) | n/a |
Fabbri et al. [24] | HGS (1) | 19G | NK, balloon | CMS | 0 (0/1) | 0 (0/1) | None |
Attasaranya et al. [27] | HGS (16) | 19G | BD | PS, CMS | 81 (13/16) | 38 (6/16) | n/a |
Kim et al. [29] | HGS (4) | 19G | NK, BD | CMS | 75 (3/4) | 50 (2/4) | Abdominal pain 1, stent migration 1 |
Vila et al. [31] | HGS (34) | n/a | n/a | n/a | 65 (22/34) | 29 (11/34) | Biloma 3, bleeding 3, perforation 2, liver hematoma 1, abscess 1 |
Tonozuka et al. [32] | HGS (3) | 19G | BD, balloon, CN | CMS | 100 (3/3) | 0 (0/3) | None |
Khashab et al. [33] | HGS (3), HES (2) | 19G, 22G | BD, balloon | PS, CMS | 100 (5/5) | n/a (n/a) | n/a |
Kawakubo et al. [34] | HGS (20) | 19G | BD, balloon, NK | PS, CMS | 95 (19/20) | 30 (6/20) | Bile leak 2, stent misplacement 2, bleeding 1, cholangitis 1, biloma 1 |
Overall | 87 (137/158) | 27 (41/153) |
EUS-rendezvous technique
Summary of the procedure
Actual technique
Literature review and assessment
References | EHBD approach | IHBD approach | Overall | Complications, n
| |
---|---|---|---|---|---|
Success rate, % (n) | Success rate, % (n) | Success rate, % (n) | Complication rate, % (n) | ||
Tarantino et al. [10] | 50 (4/8) | – | 50 (4/8) | 13 (1/8) | Death due to LC 1 |
57 (8/14)a
| 65 (26/40)a
| 63 (34/49)a
| 16 (8/49) | Abdominal pain 1, pneumoperitoneum 4, bleeding 1, biliary peritonitis 1, aspiration pneumonia 1 | |
80 (12/15) | – | 80 (12/15) | 13 (2/15) | Sepsis 1, pancreatitis 1 | |
Shah et al. [47] | n/a (n/a) | n/a (n/a) | 74 (37/50) | 8 (4/50) | Pancreatitis 2, bile leak 1, perforation 1 |
Iwashita et al. [48] | 81 (25/31) | 44 (4/9) | 73 (29/40) | 13 (5/40) | Abdominal pain 1, pancreatitis 2, pneumoperitoneum 1, sepsis/death 1b
|
Dhir et al. [49] | 98 (57/58) | – | 98 (57/58) | 3 (2/58) | Extravasation of contrast 2 |
Kawakubo et al. [50] | 100 (9/9) | 100 (5/5) | 100 (14/14) | 14 (2/14) | Pancreatitis 1, bile peritonitis 1 |
Park et al. [51] | 93 (13/14) | 50 (3/6) | 80 (16/20) | 10 (2/20) | Pancreatitis 1, bile peritonitis 1 |
Khashab et al. [33] | 100 (11/11) | 100 (2/2) | 100 (13/13) | 15 (2/13) | Pancreatitis 1, cholecystitis 1 |
Overall | 87 (139/160) | 65 (40/62) | 81 (215/267) | 11 (24/217) |
IHBD | EHBD | ||
---|---|---|---|
Scope position | Straight | Push (long) | Pull (short) |
Schema | |||
Puncture site | Stomach | D1 | D2 |
Scope stability | Stable | Stable | Unstable |
Needle maneuverability | Easy | Difficult | Normal |
Diameter of bile duct | Small | Large | Large |
Needle direction | Ampulla | Hepatic hilar | Ampulla |
Distance to papilla | Long | Short | Very short |
EUS-guided antegrade treatments
Summary of the procedure
Actual technique
Literature review and assessment
References | Success rate, % (n) | Complication rate, % (n) | Complications, n
|
---|---|---|---|
Nguyen-Tang et al. [53] | 100 (5/5) | 0 (0/5) | None |
Artifon et al. [54] | 100 (1/1) | 0 (0/1) | None |
Park et al. [55] | 100 (1/1) | 0 (0/1) | None |
Shah et al. [47] | 81 (13/16) | 6 (1/16) | Hepatic hematoma 1 |
Iwashita et al. [56] | 100 (2/2) | 50 (1/2) | Pancreatitis 1 |
Park et al. [51] | 57 (8/14) | 0 (0/14) | None |
Overall | 77 (30/39) | 5 (2/39) |