ArticleEndoscopic ultrasound
EUS-guided transanastomotic drainage for severe biliopancreatic anastomotic stricture using a forward-viewing echoendoscope in patients with surgically altered anatomy.
Article in Endoscopic ultrasound. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- Two-step transjejunal biliary drainage using a colonoscope and an oblique-viewing linear-array echoendoscope after pancreatoduodenectomy.Endoscopy · 2026Article
- Drainage for complete obstruction of the posterior bile duct after pancreatoduodenectomy with a forward-viewing echoendoscope.Endoscopy · 2025Article
- Management of Pancreaticojejunostomy Strictures: A New Perspective with Forward-Viewing EUS.Digestive diseases and sciences · 2025Article
- Safety and efficacy of trans-afferent loop endoscopic ultrasound-guided pancreaticojejunostomy for post pancreaticoduodenectomy anastomotic stricture using the forward-viewing echoendoscope: a retrospective study from Japan.Clinical endoscopy · 2025Article
- Transforming endoscopic approaches to post-pancreaticoduodenectomy anastomotic strictures: beyond the surface.Clinical endoscopy · 2025Article
- Transanastomotic Forward-Viewing EUS-Guided Pancreatic Duct Drainage via Afferent Loop for Pancreaticojejunostomy Anastomotic Stricture After Pancreaticoduodenectomy.Digestive diseases and sciences · 2025Article
- Technical challenge of EUS-guided pancreatic duct drainage with gastroscopy for pediatric pancreaticojejunostomy stricture.Gastroenterology report · 2025Article
- Endoscopic ultrasound-guided gallbladder drainage using a forward-viewing echoendoscope after Billroth II gastrectomy.Endoscopy · 2024Article
- Forward viewing liner echoendoscopy for therapeutic interventions.Clinical endoscopy · 2024Review
- Tissue acquisition for comprehensive genomic profiling of gallbladder cancer using a forward-viewing echoendoscope in a patient who underwent Roux-en-Y reconstruction.Clinical journal of gastroenterology · 2024Article
- [Endoscopic management of complications in the hepatobiliary and pancreatic system and the tracheobronchial tree].Chirurgie (Heidelberg, Germany) · 2023Article
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- Endoscopic Ultrasound-Guided Rendezvous for Biliary Obstruction in Patient With Prior Whipple Surgery.Journal of medical cases · 2022Article
- Ethanol Ablation for Intrahepatic Bile Duct Dilatation in an Elderly Patient: A Case Report.Journal of medical ultrasoundArticle
- Efficacy and safety of EUS-guided biliary drainage for benign biliary obstruction - A systematic review and meta-analysis.Endoscopic ultrasoundArticle
- EUS takes the challenge of postsurgical patients.Endoscopic ultrasoundArticle
- EUS-guided pancreaticojejunostomy under gel immersion for pancreaticojejunal anastomotic stricture (with video).Endoscopic ultrasoundArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesBalloon enteroscopy-assisted ERCP (BE-ERCP) has become the first-line therapy for biliopancreatic anastomotic strictures. However, it is not always successful, and salvage methods have not been established. This study aimed to evaluate the outcomes of EUS-guided transanastomotic drainage using a forward-viewing (FV) echoendoscope. PATIENTS AND
methodsOf eight cases wherein BE-ERCP treatment failed due to severe or complete benign anastomotic stricture, seven cases underwent EUS-guided choledochojejunostomy, and EUS-guided pancreaticojejunostomy was applied in one case after intubating an FV echoendoscope into the anastomotic site.
resultsThe success rate of reaching the target site was 100% (8/8) for patients after modified Child resection. The median time to reach the anastomosis was 5 min (range: 3-17 min), and the technical success rate for drainage was 75% (6/8). The median total procedure time was 33.5 min (range: 22-45 min) for six successful cases. Cautery dilatation catheters were necessary to dilate the puncture site in all cases, and no early complications were observed. During the follow-up period (median: 13.3 months [range: 6.5-60.3]), recurrence of the stricture occurred in one case, and a stent-free status was achieved after 6-12 months of stent placement in five cases.
conclusionsEUS-guided transanastomotic drainage using an FV echoendoscope is a feasible and safe rescue technique for the management of benign severe biliopancreatic anastomotic strictures.
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