ArticleGastroenterology report2024
Simplified single-session EUS-guided transhepatic antegrade stone removal for management of choledocholithiasis in patients with surgically altered anatomy.
Article in Gastroenterology report, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Endoscopic ultrasound-guided transhepatic antegrade stone removal for choledocholithiasis after pancreaticoduodenectomy: A case report and review of literature.World journal of gastroenterology · 2026Review
- Evaluation of time to endosonographic creation route after endoscopic ultrasound-guided hepaticogastrostomy.Endoscopy international open · 2026Article
- A novel 19-gauge integrated electrocautery-puncture needle for endoscopic ultrasound-guided biliary drainage.Endoscopy · 2025Article
- Time to endosonography-created route formation after EUS-guided hepaticojejunostomy for performing antegrade procedures.Endoscopic ultrasoundArticle
- Chinese expert consensus on the clinical practice of EUS-guided biliary drainage (2024, Shanghai).Endoscopic ultrasoundArticle
- Prospective evaluation study of EUS-guided hepaticogastrostomy without tract dilation: Comparison to with tract dilation.Endoscopic ultrasoundArticle
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Authors and funding
9 authors.
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Abstract
Background: Endoscopic ultrasound (EUS)-guided transhepatic antegrade stone removal (TASR) has been reserved for choledocholithiasis after failed endoscopic retrograde cholangiopancreatography (ERCP) in recent years. The aim of this study was to evaluate the techniques, feasibility, and safety of simplified single-session EUS-TASR for choledocholithiasis in patients with surgically altered anatomy (SAA). Methods: A retrospective database of patients with SAA and choledocholithiasis from the Second Hospital of Hebei Medical University (Shijiazhuang, China) between August 2020 and February 2023 was performed. They all underwent single-session EUS-TASR after ERCP failure. Basic characteristics of the patients and details of the procedures were collected. The success rates and adverse events were evaluated and discussed. Results: During the study period, 13 patients underwent simplified single-session EUS-TASR as a rescue procedure (8 males, median age, 64.0 [IQR, 48.5-69.5] years). SAA consisted of four Whipple procedures, one Billroth II gastrectomy, four gastrectomy with Roux-en-Y anastomoses, and four hepaticojejunostomy with Roux-en-Y anastomoses. The technical success rate was 100% and successful bile duct stone removal was achieved in 12 of the patients (92.3%). Adverse events occurred in two patients (15.4%), while one turned to laparoscopic surgery and the other was managed conservatively. Conclusions: Simplified single-session EUS-TASR as a rescue procedure after ERCP failure appeared to be effective and safe in the management of choledocholithiasis in patients with SAA. But further evaluation of this technique is still needed, preferably through prospective multicenter trials.
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