| Strategic International Session2(JGES・JSGE・JSGS) |
| Fri. November 3rd 9:00 - 12:00 Room 11: Portopia Hotel South Wing Topaz |
| Utility of Forward-viewing EUS-Biliary drainage (FVEUS-BD) via afferent loop for treatment of choledochojejunal anastomotic stenosis | |||
| Daiki Agarie1, Susumu Hijioka1, Takuji Okusaka1 | |||
| 1Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital | |||
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| [Background] Although the choledochojejunal anastomotic stenosis is usually treated by balloon enteroscope-assisted ERC(BE-ERC), we occasionally experience difficult cases due to severe stenosis. Recently, the usefulness of Forward-viewing EUS-BD via afferent loop (FVEUS-BD via AL) has been reported in such cases. Here, we evaluated the utility of FVEUS-BD via AL for treatment of choledochojejunal anastomotic stenosis. [Methods] We retrospectively reviewed the outcomes of 9 cases who underwent FVEUS-BD via AL because BE-ERC could not be performed due to severe stenosis. [Results] The composition of 9 cases was benign/malignant 5/4. Reconstruction type: Child/Roux-en-Y 8/1. The success rate of reaching anastomotic site was 100% (9/9), and the technical success rate for drainage was 100% (9/9). Recurrent biliary obstruction (RBO) was observed in 2 patients, Time to RBO was 88 days (range: 19-NA). In 5 cases of benign, the stent was removed after a certain period of stenting with the intention of achieving stent-free (median: 88 days). In 3 cases, restenosis was observed after removal of the stent. Re-intervention was performed from the created fistula, and the stent was removed after being implanted again for a certain period. In the end, 4 cases were able to be followed up without stent. [Conclusions] This method was considered useful because of its high success rate and possibility exists that it could be stent-free. |
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Index Term 1: FVEUS Index Term 2: EUS-BD |
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