A novel technique for one-step dilation followed by bile aspiration using an ultra-tapered bougie dilator with side holes to minimize bile leakage during EUS-guided hepaticogastrostomy.

Autor: Mukai S; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Itoi T; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Tsuchiya T; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Tanaka R; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Tonozuka R; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Yamamoto K; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Nagai K; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Matsunami Y; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Kojima H; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan., Sofuni A; Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Jazyk: angličtina
Zdroj: Journal of hepato-biliary-pancreatic sciences [J Hepatobiliary Pancreat Sci] 2024 May; Vol. 31 (5), pp. e17-e19. Date of Electronic Publication: 2024 Jan 08.
DOI: 10.1002/jhbp.1413
Abstrakt: Bile aspiration during endoscopic ultrasound-guided hepaticogastrostomy reduces the risk of bile leakage. Mukai and colleagues devised a method in which side holes for bile aspiration are created using a biopsy punch in a hard type ultra-tapered bougie dilator. Effective bile aspiration was achieved in all four cases attempted.
(© 2024 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery.)
Databáze: MEDLINE
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