典型文献
Relief of jaundice in malignant biliary obstruction:When should we consider endoscopic ultrasonography-guided hepaticogastrostomy as an option?
文献摘要：
Background:Since it was first described in 2001,endoscopic ultrasonography-guided biliary drainage(EUS-BD)has emerged as an alternative procedure for achieving an endoscopic internal drainage in case of endoscopic retrograde cholangiopancreatography(ERCP)failure.Biliary drainage can be achieved by ei-ther a transduodenal extrahepatic approach through EUS-guided choledochoduodenostomy(EUS-CDS),or a transgastric intrahepatic approach,namely EUS-guided hepaticogastrostomy(EUS-HGS)which already holds a remarkable place in the treatment of patients with malignant biliary obstruction.Data sources:For this review we did a comprehensive search of PubMed/MEDLINE from inception to May 31,2021 for papers with a significant sample size(at least 20 patients enrolled)dealing with EUS-HGS.Data on technical success,clinical success and rate of adverse events were collected.Results:A total of 22 studies with different design,comprising 874 patients,were included.Technical success was achieved in about 96％of cases(ranging from 65％to 100％).Clinical success was obtained in almost 91％of cases(ranging from 76％to 100％).Overall rate of adverse events was 19％(ranging from 0％to 35％).Abdominal pain,self-limiting pneumoperitoneum,bile leak,cholangitis,bleeding,perforation and intraperitoneal migration of the stent were the most common.Conclusions:Despite both safety and efficacy profile,at the moment HGS still remains a challenging procedure at every single step and must therefore be conducted by a very experienced endoscopist in interventional EUS and ERCP procedures,who is able to deal with the possible severe adverse events of this procedure.A rapid introduction in clinical practice of dedicated devices is desiderable.
文献关键词：
中图分类号：
作者姓名：
Alessandro Fugazza;Matteo Colombo;Marco Spadaccini;Edoardo Vespa;Roberto Gabbiadini;Antonio Capogreco;Alessandro Repici;Andrea Anderloni
作者机构：
Division of Gastroenterology and Digestive Endoscopy,Humanitas Research Hospital-IRCCS,Milan,Italy;Department of Biomedical Sciences,Humanitas University,Milan,Italy
文献出处：
引用格式：
[1]Alessandro Fugazza;Matteo Colombo;Marco Spadaccini;Edoardo Vespa;Roberto Gabbiadini;Antonio Capogreco;Alessandro Repici;Andrea Anderloni-.Relief of jaundice in malignant biliary obstruction:When should we consider endoscopic ultrasonography-guided hepaticogastrostomy as an option?)[J].国际肝胆胰疾病杂志(英文版),2022(03):234-240
A类：
hepaticogastrostomy,transduodenal,choledochoduodenostomy,transgastric,pneumoperitoneum,endoscopist,desiderable
B类：
Relief,jaundice,malignant,biliary,obstruction,When,should,consider,endoscopic,ultrasonography,guided,option,Background,Since,was,first,described,drainage,EUS,BD,has,emerged,alternative,achieving,internal,retrograde,cholangiopancreatography,ERCP,failure,Biliary,achieved,by,ei,extrahepatic,approach,through,CDS,intrahepatic,namely,HGS,which,already,holds,remarkable,place,treatment,patients,Data,sources,For,this,review,did,comprehensive,search,MEDLINE,from,inception,May,papers,significant,sample,size,least,enrolled,dealing,technical,success,clinical,rate,adverse,events,were,collected,Results,total,studies,different,design,comprising,included,Technical,about,cases,ranging,Clinical,obtained,almost,Overall,Abdominal,pain,self,limiting,bile,leak,cholangitis,bleeding,perforation,intraperitoneal,migration,stent,common,Conclusions,Despite,both,safety,efficacy,profile,moment,still,remains,challenging,every,single,step,must,therefore,conducted,experienced,interventional,procedures,who,possible,severe,rapid,introduction,practice,dedicated,devices
AB值：
0.553462
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