ArticleSurgical endoscopy2022
Double guidewire technique stabilization procedure for endoscopic ultrasound-guided hepaticogastrostomy involving modifying the guidewire angle at the insertion site.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 20 citations in OpenAlex.
- Balloon Catheter Versus Drill Dilator for EUS-Guided Hepaticogastrostomy Stent Placement: A Randomized Clinical Trial.United European gastroenterology journal · 2025Trial
- Risk Factors for Peritonitis Associated With Endoscopic Ultrasound-guided Hepaticogastrostomy.DEN open · 2027Article
- Troubleshooting of plastic stent impaction in the working channel during endoscopic ultrasound-guided hepaticogastrostomy.Endoscopy · 2026Article
- Article
- Review
- Guidewire-bile duct angle as a determinant of stent delivery success in EUS-guided hepaticogastrostomy: a prospective double-lumen dilator cohort with propensity score-matched historical controls.Therapeutic advances in gastroenterology · 2026Article
- Antegrade enteral stenting for afferent loop syndrome using the double-guidewire technique via endoscopic ultrasound-guided hepaticogastrostomy.Endoscopy · 2025Article
- Technical Feasibility and Safety of a Novel Device for Simultaneous Double Guidewire Insertion and Tract Dilation During Interventional EUS.Digestive diseases and sciences · 2025Article
- Management of a fractured and retained plastic stent during endoscopic ultrasound-guided hepaticogastrostomy.Endoscopy · 2025Article
- Salvaging hilar access using an uneven double-lumen cannula in endoscopic ultrasound-guided hepaticogastrostomy.Endoscopy · 2025Article
- Efficacy of the modified parallel method combined with the double-guide-wire technique for safer endoscopic ultrasound-guided hepaticogastrostomy.Gastroenterology report · 2025Article
- Endoscopic biliary drainage for distal bile duct obstruction due to pancreatic cancer.Clinical endoscopy · 2025Review
- Opening a new window of interventional endoscopic ultrasound using a 22-G needle with a novel dedicated dilation device.Endoscopy · 2024Article
- Is Endoscopic Ultrasound-Guided Hepaticogastrostomy Safe and Effective after Failed Endoscopic Retrograde Cholangiopancreatography?-A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Efficacy of a Novel Tapered Contrast Catheter for Endoscopic Ultrasound-Guided Hepaticogastrostomy: A Multicenter Study.Journal of clinical medicine · 2024Article
- A double-guidewire technique for endoscopic ultrasonography-guided pancreatic drainage after pancreaticoduodenectomy.Endoscopy · 2023Article
- Guidewires in GI endoscopy.iGIE : innovation, investigation and insights · 2023Article
- Liver impaction technique improves technical success rate of guidewire insertion during EUS-guided hepaticogastrostomy (with video).Therapeutic advances in gastroenterology · 2023Article
- Moving scope technique improves technical success rate of device insertion during EUS-guided hepaticogastrostomy (with video).Therapeutic advances in gastroenterology · 2023Article
- Prospective evaluation study of EUS-guided hepaticogastrostomy without tract dilation: Comparison to with tract dilation.Endoscopic ultrasoundArticle
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsEndoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) is often performed using a single guidewire (SGW), but the efficacy of the double guidewire (DGW) technique during endoscopic ultrasonography-guided biliary drainage has been reported. We evaluated the efficacy of the DGW technique for EUS-HGS, focusing on the guidewire angle at the insertion site.
methodsThis retrospective cohort study included consecutive patients who underwent EUS-HGS between April 2012 and March 2021. We measured the guidewire angle at the insertion site using still fluoroscopic imaging. We compared the clinical outcomes of EUS-HGS with the DGW and SGW techniques. The factors associated with successful cannula insertion, need for additional fistula dilation and adverse event rate were assessed by a logistic regression multivariable analysis.
resultsThe DGW group showed higher technical (p = 0.020) and clinical success rates (p = 0.016) than the SGW group, which showed more adverse events (p = 0.017) than the DGW group. Successful cannula insertion was associated with a guidewire angle > 137° and an uneven double-lumen cannula. The DGW technique made the guidewire angle obtuse at the insertion site (p < 0.0001). A guidewire angle ≤ 137° (OR, 35.6; 95% CI, 1.70-744; p = 0.0045) and intrahepatic bile duct diameter of the puncture site ≤ 3.0 mm (OR, 14.4; 95% CI, 1.37-152; p = 0.0056) were risk factors for needing additional fistula dilation in a multivariate analysis, and additional dilation was a significant predictive factor for adverse events (OR, 8.3; 95% CI, 0.9-77; p = 0.026).
conclusionsThe DGW technique can modify the guidewire angle at the insertion site and facilitate stent deployment with few adverse events.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.