title: Endoscopic ultrasound-guided biliary drainage using a lumen-apposing self-expanding metal stent: a case series.
abstract: Endoscopic ultrasound-guided biliary drainage (EUS-BD) might be an alternative to percutaneous or transpapillary biliary drainage in unresectable pancreatic or biliary cancer. A lumen-apposing, fully covered, self-expanding metal stent, which creates a sealed transluminal conduit between the biliary and gastrointestinal tract may offer advantages over conventional plastic and metal stents. In this retrospective, observational, open-label case study, five patients underwent EUS-BD for obstructive jaundice in pancreatic cancer (n = 4) or distal cholangiocarcinoma (n = 1). Technical and functional success was achieved in all patients without complications. The development of specialized stent and delivery systems may render EUS-BD an effective and safe alternative to percutaneous or transpapillary approaches.
authors.affiliation: Medical Department 1, University Hospital Dresden, Technical University Dresden (TUD), Dresden, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Brückner
authors.affiliation: Department of Medicine I, University Hospital Schleswig-Holstein, Kiel Campus, Christian-Albrechts-University Kiel, Kiel, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Arlt
authors.affiliation: Medical Department 1, University Hospital Dresden, Technical University Dresden (TUD), Dresden, Germany.
authors.forename: Jochen
authors.initials: J
authors.lastname: Hampe
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D018281:Cholangiocarcinoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D002768:Choledochostomy; D004322:Drainage; D019160:Endosonography; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000069322:Self Expandable Metallic Stents; D018084:Ultrasonography, Interventional