Feasibility and safety of a novel dedicated device for one-step EUS-guided biliary drainage: A randomized trial
DC Field | Value | Language |
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dc.contributor.author | Park, Do Hyun | - |
dc.contributor.author | Lee, Tae Hoon | - |
dc.contributor.author | Paik, Woo Hyun | - |
dc.contributor.author | Choi, Jun-Ho | - |
dc.contributor.author | Song, Tae Jun | - |
dc.contributor.author | Lee, Sang Soo | - |
dc.contributor.author | Seo, Dong-Wan | - |
dc.contributor.author | Lee, Sung Koo | - |
dc.contributor.author | Kim, Myung-Hwan | - |
dc.date.accessioned | 2021-08-11T19:43:56Z | - |
dc.date.available | 2021-08-11T19:43:56Z | - |
dc.date.issued | 2015-10 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.issn | 1440-1746 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/10249 | - |
dc.description.abstract | Background and AimsEUS-guided biliary drainage (EUS-BD) has been proposed as an alternative for patients after failed ERCP. To date, the evaluation of dedicated device for one-step EUS-BD has been limited. To determine feasibility and safety of a newly designed 7F stent introducer with tapered metal tip as a push-type dilator for one-step metal stent placement without additional fistula dilation in EUS-BD. MethodsThirty-two patients with malignant biliary obstruction and failed ERCP were randomly assigned to a dedicated stent introducer with a modified hybrid metal stent (DH group, n=16) or a conventional 8.5F biliary metal stent introducer with a fully covered metal stent (FC group, n=16). The technical success, procedural times, clinical success rate, and adverse event rates were evaluated. ResultsOne-step technical success without additional fistula dilation in the DH was 88% (14/16). Multi-step process in a stent placement was performed in all patients of the FC group. The procedural time in the DH was significantly shorter than the FC (10 vs. 15min, P=0.007). No difference in overall technical or clinical success was seen between the groups. The rate of an early adverse event was common in the FC compared with the DH (31.3% [5/16] in the FC vs. 6.3% [1/16] in the DH, P=0.172), although not statistically significant. ConclusionsA dedicated device for one-step EUS-BD may be technically feasible, safe, and shorten the procedural times with less chance of an additional fistula dilation process, resulting in a potential reduction of the early adverse events. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Blackwell Publishing Inc. | - |
dc.title | Feasibility and safety of a novel dedicated device for one-step EUS-guided biliary drainage: A randomized trial | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1111/jgh.13027 | - |
dc.identifier.scopusid | 2-s2.0-84941200752 | - |
dc.identifier.wosid | 000361491700007 | - |
dc.identifier.bibliographicCitation | Journal of Gastroenterology and Hepatology, v.30, no.10, pp 1461 - 1466 | - |
dc.citation.title | Journal of Gastroenterology and Hepatology | - |
dc.citation.volume | 30 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1461 | - |
dc.citation.endPage | 1466 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | COVERED METAL STENT | - |
dc.subject.keywordPlus | FAILED ERCP | - |
dc.subject.keywordPlus | ADVERSE EVENTS | - |
dc.subject.keywordPlus | CHOLANGIOPANCREATOGRAPHY | - |
dc.subject.keywordPlus | HEPATICOGASTROSTOMY | - |
dc.subject.keywordPlus | OBSTRUCTION | - |
dc.subject.keywordPlus | VIDEOS | - |
dc.subject.keywordPlus | READY | - |
dc.subject.keywordAuthor | biliary: neoplasms | - |
dc.subject.keywordAuthor | endoscopic ultrasound | - |
dc.subject.keywordAuthor | endoscopy: pancreato-biliary [ERCP] | - |
dc.subject.keywordAuthor | gastroenterology | - |
dc.subject.keywordAuthor | gastroenterology | - |
dc.subject.keywordAuthor | gastroenterology | - |
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