aim evalu success rate relat factor endoscop ultrasound guidedbiliari drainag eusbd materi method conduct retrospect studi among 24 patient malign biliari obstruct who underw eusbd after fail ercp from januari 2015 decemb 2016 tertiari health center the bilirubin level befor after procedur were use defin clinic success rate while stent deploy use defin technic success rate place either translumin biliari stent transpapillari biliari stent result among 24 patient choledochoduodenostomi techniqu conduct 23 patient 958 hepaticogastrostomi techniqu 1 patient 42 translumin stent placement conduct 23 patient while transpapillari stent placement conduct 1 patient the clinic success rate 782 18 choledochoduodenostomi rout 100 1 hepaticogastrostomi rout eusbd 237 time 211 time more like success reduc bilirubin level patient tumor head pancrea periampullari tumor respect cholangiocarcinoma conclus eusbd effect effici procedur achiev biliari drainag among patient malign biliari obstruct after ercp failur

Dadang Makmun

Achmad Fauzi

Murdani Abdullah

Ari Fahrial Syam

The Role of EUS-BD in the Management of Malignant Biliary Obstruction: The Indonesian Perspective

background aim eusguid liver biopsi emerg method liver tissu acquisit which safe had been shown produc excel histolog yield there limit data compar diagnost yield differ fna needl aim compar diagnost perform four commerci avail 19gaug fna needl method four fna needl one percutan needl were use perform liver biopsi two human cadaver liver cook echotip procor olympus shot 2 boston scientif expect slimlin covidien sharkcor 18gaug percutan needl trucor argon medic devic each needl obtain biopsi three six nine complet backandforth motion needl throw fan techniqu the combin length specimen fragment total number complet portal tract cpt were measur blind pathologist oneway analysi varianc anova bonferroni correct were use statist analysi result total 52 liver biopsi were perform the covidien sharkcor needl had signific greater number cpt compar other fna needl the number throw did impact number cpt signific there statist signific differ mean total specimen length between each fna needl type conclus the covidien sharkcor needl produc superior histolog specimen captur more cpt possibl due it uniqu needl design

Woo Jung Lee

Lance T. Uradomo

Yang Zhang

William Twaddell

Peter Darwin

Comparison of the Diagnostic Yield of EUS Needles for Liver Biopsy: Ex Vivo Study

introduct walledoff pancreat necrosi wopn major complic acut pancreat hypothes extend 2 cystogastrostomi open combin hydrogen peroxid irrig can increas success endoscop necrosectomi decreas number requir endoscop intervent the aim studi assess safeti feasibl techniqu manag wopn method this retrospect chart review all case underw eus extend cystogastrostomi hydrogen peroxid irrig prior necrosectomi tertiari referr medic center clinic success defin complet resolut cyst caviti cyst caviti less than 2 size followup imag result 19 patient satisfi inclus criteria the mean size walledoff caviti technic success procedur 100 the median number necrosectomi session 2 rang 1 7 caviti resolut note 18 out 19 patient result clinic success 947 the median followup period 12 month the advers event rate our cohort 157 conclus extend cystogastrostomi coupl hydrogen peroxid irrig wopn caviti safe feasibl

Mohamed O. Othman

Sherif Elhanafi

Mohammed Saadi

Christine Yu

Brian R. Davis

Extended Cystogastrostomy with Hydrogen Peroxide Irrigation Facilitates Endoscopic Pancreatic Necrosectomy

background aim endoscop nasobiliari drainag nbd effect accord diamet remain unclear aim assess drainag effect 4fr 6fr nbd cathet method this prospect multicent random control studi conduct hiroshima univers hospit relat facil within hiroshima prefectur endoscop retrograd cholangiopancreatographi ercp 246 patient reveal acut cholang obstruct jaundic extrahepat cholestasi 4fr 6fr nbd cathet were random alloc place patient the primari endpoint efficaci nbd base technic success rate clinic success rate chang blood test amount bile output secondari endpoint includ spontan cathet displac rate nasal discomfort result the technic success rate clinic success did differ signific between group spontan cathet displac note either group nasal discomfort due cathet placement signific lower 4fr group versus 6fr group 24 after ercp 24 versus 35 48 after ercp 22 versus 31 conclus the 4fr nbd cathet inferior 6fr nbd cathet term clinic success 4fr nbd cathet use reduc nasal discomfort

Tomofumi Tsuboi

Masahiro Serikawa

Tamito Sasaki

Yasutaka Ishii

Yoshifumi Fujimoto

Atsushi Yamaguchi

Takashi Ishigaki

Akinori Shimizu

Keisuke Kurihara

Yumiko Tatsukawa

Eisuke Miyaki

Kazuaki Chayama

Use of 4-Fr versus 6-Fr Nasobiliary Catheter for Biliary Drainage: A Prospective, Multicenter, Randomized, Controlled Study

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Diagnostic and Therapeutic Endoscopy