ArticleEndoscopic ultrasound
EUS-guided biliary drainage for the management of benign biliary strictures in patients with altered anatomy: A single-center experience.
Article in Endoscopic ultrasound. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 33 citations in OpenAlex.
- Endoscopic ultrasound-guided transhepatic antegrade stone removal for choledocholithiasis after pancreaticoduodenectomy: A case report and review of literature.World journal of gastroenterology · 2026Review
- Endoscopic Ultrasound-Guided Lumen-Apposing Metal Stent Drainage in Benign Pancreatobiliary and Gastrointestinal Disease: Evolving Techniques and Clinical Outcomes.Diagnostics (Basel, Switzerland) · 2026Review
- Beyond Conventional Routes: LAMS-Assisted Biliary Access in Altered Anatomy.Digestive diseases and sciences · 2026Article
- Hybrid endoscopic approach for recanalization of biliary-enteric anastomotic occlusion with impacted hepatic stones in Roux-en-Y reconstruction.Endoscopy · 2025Article
- Review
- Article
- A novel technique of percutaneous transhepatic treatment of biliary-enteric anastomotic occlusive strictures with compliant balloon-occluded distal cholangiography and large-bore catheter: a retrospective case series.Quantitative imaging in medicine and surgery · 2024Article
- EUS-BD for calibration of benign stenosis of the bile duct in patients with altered anatomy or inaccessible papilla.Endoscopy international open · 2024Article
- Duodenojejunostomy for endoscopic management of biliary enteric anastomotic stricture inaccessible via balloon-assisted endoscopy: a case report.Surgical case reports · 2023Article
- Evolution of interventional endoscopic ultrasound.Gastroenterology report · 2023Review
- Current trends of minimally invasive therapy for cholecystocholedocholithiasis.Frontiers in medicine · 2023Article
- Relief of biliary obstruction: choosing between endoscopic ultrasound and endoscopic retrograde cholangiopancreatography.BMJ open gastroenterology · 2020Review
- EUS-guided hepaticoenterostomy with using a dedicated plastic stent for the benign pancreaticobiliary diseases: A single-center study of a large case series.Endoscopic ultrasoundArticle
- Urgent and early EUS-guided biliary drainage in patients with acute cholangitis.Endoscopic ultrasoundArticle
- Long-term outcomes of EUS-guided antegrade intervention with transmural and transanastomotic plastic stenting for benign bilioenteric anastomotic strictures (with video).Endoscopic ultrasoundArticle
- Efficacy and safety of EUS-guided biliary drainage for benign biliary obstruction - A systematic review and meta-analysis.Endoscopic ultrasoundArticle
- How to perform EUS-guided biliary drainage.Endoscopic ultrasoundReview
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe management of benign biliary stricture in patients with altered anatomy secondary to surgery is challenging. Percutaneous transhepatic biliary drainage (BD) represents the standard therapy for benign biliary stricture, but it is associated with nontrivial morbidity rates. Despite the increasing application of guided BD (EUS-BD) for the management of malignant obstruction, its role in patients with benign biliary stricture is limited. This retrospective study aimed to evaluate the feasibility, safety, and clinical effectiveness of EUS-BD with multiple transanastomotic plastic stent treatment in patients with benign biliary stricture. MATERIALS AND
methodsThis study included consecutive patients who underwent EUS-BD for benign biliary stenosis at our center. EUS-BD with fully covered self-expandable metal stent placement was performed first. When feasible, the stricture was treated by balloon dilation with the placement of a transanastomotic double-pigtail plastic stent. Scheduled procedures were repeated to remove the metal stent and replace the plastic stent to treat the stenosis. Technical success and adverse events (AEs) were assessed.
resultsTwelve patients underwent EUS-BD for benign biliary strictures. Procedural and clinical successes were achieved in all patients (100%). Multistenting treatment was performed in 10/12 patients (77%). The median number of stents inserted, maximum number of stents placed, and median time of retreatment were 2.4 (range: 1-4), 4, and 3.4 (range: 1-7), respectively. In total, 4/12 patients (33.3%) developed AEs that required endoscopic interventions (Clavien-Dindo Grade III).
conclusionsEUS-BD with the placement of multiple trans-stenosis plastic stents is a safe, feasible, and well-tolerated alternative for the management of benign biliary stricture in patients with surgery-altered anatomy. Long-term follow-up is necessary to support our results.
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