Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy

Abstract Various efforts to improve technical success rates and decrease adverse event rates have also been described in endoscopic ultrasound (EUS)‐guided choledochoduodenostomy (CDS). In particular, lumen‐apposing metal stents (LAMS) may open novel opportunities in EUS‐biliary drainage (BD). To da...

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Autores principales:	Takeshi Ogura, Takao Itoi
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	adverse events EUS EUS‐CDS EUS‐guided biliary drainage lumen‐apposing metal stent Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/d2f8df9cbc4d44439a9c408a3c8dfe06
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spelling	oai:doaj.org-article:d2f8df9cbc4d44439a9c408a3c8dfe062021-11-16T19:20:28ZTechnical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy2692-460910.1002/deo2.8https://doaj.org/article/d2f8df9cbc4d44439a9c408a3c8dfe062021-04-01T00:00:00Zhttps://doi.org/10.1002/deo2.8https://doaj.org/toc/2692-4609Abstract Various efforts to improve technical success rates and decrease adverse event rates have also been described in endoscopic ultrasound (EUS)‐guided choledochoduodenostomy (CDS). In particular, lumen‐apposing metal stents (LAMS) may open novel opportunities in EUS‐biliary drainage (BD). To date, various studies have been reported with EUS‐CDS using LAMS, so we should clarify the benefits and limitations of recent EUS‐CDS based on developments in both techniques and devices. In this review, we provide technical tips and describe recent developments in EUS‐CDS, along with a review of the recent literature (between 2015 and 2020). The overall technical success rate is 95.0% (939/988), and the overall clinical success rate is 97.0% (820/845). The most frequent adverse event is cholangitis or cholecystitis (24.5%, 27/110). According to previous review, pneumoperitoneum (28%, 9/34) or peritonitis associated with bile leak (23.5%, 8/34) was most commonly observed. This difference might be based on improvements in dilation devices or the use of covered metal stents. Several randomized controlled trials comparing EUS‐CDS and endoscopic retrograde cholangiopancreatography (ERCP) for malignant biliary obstruction have recently been reported. To summarize, overall technical success rates for ERCP and EUS‐CDS were 92.7% (101/109) and 91.1% (72/79), respectively (p = 0.788). Overall clinical success rates for ERCP and EUS‐CDS were 94.1% (96/102) and 93.6% (72/78), respectively (p = 0.765). Further high‐quality evidence is needed to establish EUS‐CDS as a primary drainage technique.Takeshi OguraTakao ItoiWileyarticleadverse eventsEUSEUS‐CDSEUS‐guided biliary drainagelumen‐apposing metal stentDiseases of the digestive system. GastroenterologyRC799-869ENDEN Open, Vol 1, Iss 1, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adverse events EUS EUS‐CDS EUS‐guided biliary drainage lumen‐apposing metal stent Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	adverse events EUS EUS‐CDS EUS‐guided biliary drainage lumen‐apposing metal stent Diseases of the digestive system. Gastroenterology RC799-869 Takeshi Ogura Takao Itoi Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy
description	Abstract Various efforts to improve technical success rates and decrease adverse event rates have also been described in endoscopic ultrasound (EUS)‐guided choledochoduodenostomy (CDS). In particular, lumen‐apposing metal stents (LAMS) may open novel opportunities in EUS‐biliary drainage (BD). To date, various studies have been reported with EUS‐CDS using LAMS, so we should clarify the benefits and limitations of recent EUS‐CDS based on developments in both techniques and devices. In this review, we provide technical tips and describe recent developments in EUS‐CDS, along with a review of the recent literature (between 2015 and 2020). The overall technical success rate is 95.0% (939/988), and the overall clinical success rate is 97.0% (820/845). The most frequent adverse event is cholangitis or cholecystitis (24.5%, 27/110). According to previous review, pneumoperitoneum (28%, 9/34) or peritonitis associated with bile leak (23.5%, 8/34) was most commonly observed. This difference might be based on improvements in dilation devices or the use of covered metal stents. Several randomized controlled trials comparing EUS‐CDS and endoscopic retrograde cholangiopancreatography (ERCP) for malignant biliary obstruction have recently been reported. To summarize, overall technical success rates for ERCP and EUS‐CDS were 92.7% (101/109) and 91.1% (72/79), respectively (p = 0.788). Overall clinical success rates for ERCP and EUS‐CDS were 94.1% (96/102) and 93.6% (72/78), respectively (p = 0.765). Further high‐quality evidence is needed to establish EUS‐CDS as a primary drainage technique.
format	article
author	Takeshi Ogura Takao Itoi
author_facet	Takeshi Ogura Takao Itoi
author_sort	Takeshi Ogura
title	Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy
title_short	Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy
title_full	Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy
title_fullStr	Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy
title_full_unstemmed	Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy
title_sort	technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/d2f8df9cbc4d44439a9c408a3c8dfe06
work_keys_str_mv	AT takeshiogura technicaltipsandrecentdevelopmentofendoscopicultrasoundguidedcholedochoduodenostomy AT takaoitoi technicaltipsandrecentdevelopmentofendoscopicultrasoundguidedcholedochoduodenostomy
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Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy

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