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Endoscopic Ultrasound-Guided Interventions

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Innovative Endoscopic and Surgical Technology in the GI Tract

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Abstract

EUS-guided cholangiodrainage (EUS-BD) is the standard procedure for internal bile drainage in the palliative setting even before PTCD in the case of failed ERCP in hospitals with high expertise. In addition to the internal antegrade drainage technique, antegrade extrahepatic cholangioenterostomy and transhepatic retrograde hepaticoenterostomy are available, as well as EUS-guided gallbladder drainage (EUS-GBD) in high-risk patients with acute cholecystitis. In patients with remitting pancreatitis and retention of the pancreatic duct following pancreatic resection, EUS-guided transgastric pancreatic drainage (EUS-PD) can achieve sufficient drainage and avoid the need for repeat surgery. EUS-guided tumor therapy with instillation of alcohol or MWTA of neuroendocrine tumors is a safe alternative to surgery for symptomatic high-risk patients. EUS-guided therapy with application of coils or instillation of fibrin directly into the vessels may be an alternative to angiographic intervention for recurrent bleeding from tumors or acute bleeding from a pseudoaneurysm.

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References

  1. Enochsson L, Swahn F, Arnelo U, et al. Nationwide, population-based data from 11,074 ERCP procedures from the Swedish Registry for Gallstone Surgery and ERCP. Gastrointest Endosc. 2010;72:1175–84.

    Article  Google Scholar 

  2. Krutsri C, Kida M, Yamauchi H, Iwai T, Imaizumi H, Koizumi W. Current status of endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy. World J Gastroenterol. 2019;25(26):3313–33.

    Article  Google Scholar 

  3. Shao X-D, Qi X-S, Guo X-Z. Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: a meta-analysis. Saudi J Gastroenterol. 2017;23(3):150–60.

    PubMed  PubMed Central  Google Scholar 

  4. Nennstiel S, Weber A, Frick G, et al. Drainage-related complications in percutaneous transhepatic biliary drainage: an analysis over 10 years. J Clin Gastroenterol. 2015;49:764–70.

    Article  Google Scholar 

  5. Teoh AYB, Dhir V, Kida M, Yasuda I, Jin ZD, Seo DW, Almadi M, Ang TL, Hara K, Hilmi I, Itoi T, Lakhtakia S, Matsuda K, Pausawasdi N, Puri R, Tang RS, Wang HP, Yang AM, Hawes R, Varadarajulu S, Yasuda K, Ho LKY. Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel. Gut. 2018;67:1209–28.

    Article  Google Scholar 

  6. Dumonceau JM, Tringali A, Papanikolaou IS, Blero D, Mangiavillano B, Schmidt A, Vanbiervliet G, Costamagna G, Devière J, García-Cano J, Gyökeres T, Hassan C, Prat F, Siersema PD, van Hooft JE. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline - updated October 2017. Endoscopy. 2018;50:910–30.

    Article  Google Scholar 

  7. Mukai S, Itoi T, Baron TH, Takada T, Strasberg SM, Pitt HA, Ukai T, Shikata S, Teoh AYB, Kim MH, Kiriyama S, Mori Y, Miura F, Chen MF, Lau WY, Wada K, Supe AN, Giménez ME, Yoshida M, Mayumi T, Hirata K, Sumiyama Y, Inui K, Yamamoto M. Indications and techniques of biliary drainage for acute cholangitis in updated Tokyo guidelines 2018. J Hepatobiliary Pancreat Sci. 2017;24:537–49.

    Article  Google Scholar 

  8. Jain D, Shah M, Patel U, Sharma A, Singhal S. Endoscopic ultrasound guided choledocho-enterostomy by using lumen apposing metal stent in patients with failed endoscopic retrograde cholangiopancreatography: a literature review. Digestion. 2018;98:1–10.

    Article  CAS  Google Scholar 

  9. Wang K, Zhu J, Xing L, Wang Y, Jin Z, Li Z. Assessment of efficacy and safety of EUS-guided biliary drainage: a systematic review. Gastrointest Endosc. 2016;83:1218–27.

    Article  Google Scholar 

  10. Kunda R, Pérez-Miranda M, Will U, Ullrich S, Brenke D, Dollhopf M, Meier M, Larghi A. EUS-guided choledochoduodenostomy for malignant distal biliary obstruction using a lumen-apposing fully covered metal stent after failed ERCP. Surg Endosc. 2016;30:5002–8.

    Article  Google Scholar 

  11. Khan MA, Akbar A, Baron TH, Khan S, Kocak M, Alastal Y, Hammad T, Lee WM, Sofi A, Artifon EL, Nawras A, Ismail MK. Endoscopic ultrasound-guided biliary drainage: a systematic review and meta- analysis. Dig Dis Sci. 2016;61:684–703.

    Article  Google Scholar 

  12. Dhir V, Itoi T, Khashab MA, Park DH, Yuen Bun Teoh A, Attam R, Messallam A, Varadarajulu S, Maydeo A. Multicenter comparative evaluation of endoscopic placement of expandable metal stents for malignant distal common bile duct obstruction by ERCP or EUS-guided approach. Gastrointest Endosc. 2015;81:913–23.

    Article  Google Scholar 

  13. Park JK, Woo YS, Noh DH, Yang JI, Bae SY, Yun HS, Lee JK, Lee KT, Lee KH. Efficacy of EUS- guided and ERCP-guided biliary drainage for malignant biliary obstruction: prospective randomized controlled study. Gastrointest Endosc. 2018;88(277):282.

    Google Scholar 

  14. Bang JY, Navaneethan U, Hasan M, Hawes R, Varadarajulu S. Stent placement by EUS or ERCP for primary biliary decompression in pancreatic cancer: a randomized trial (with videos). Gastrointest Endosc. 2018;88:9–17.

    Article  Google Scholar 

  15. Paik WH, Lee TH, Park DH, Choi JH, Kim SO, Jang S, Kim DU, Shim JH, Song TJ, Lee SS, Seo DW, Lee SK, Kim MH. EUS-guided biliary drainage versus ERCP for the primary palliation of malignant biliary obstruction: a multicenter randomized clinical trial. Am J Gastroenterol. 2018;113:987–97.

    Article  Google Scholar 

  16. Khashab MA, Messallam AA, Penas I, Nakai Y, Modayil RJ, De la Serna C, Hara K, El Zein M, Stavropoulos SN, Perez-Miranda M, Kumbhari V, Ngamruengphong S, Dhir VK, Park DH. International multicenter comparative trial of transluminal EUS-guided biliary drainage via hepatogastrostomy vs. choledochoduodenostomy approaches. Endosc Int Open. 2016;4(2):E175–81.

    Article  Google Scholar 

  17. Dhindsa BS, Mashiana HS, Dhaliwal A, Mohan BP, Jayaraj M, Sayles H, Singh S, Ohning G, Bhat I, Adler DG. EUS-guided biliary drainage: a systematic review and meta-analysis. Endosc Ultrasound. 2020;9(2):101–9.

    Article  Google Scholar 

  18. Will U, Fueldner F, Kern C, et al. EUS-guided bile duct drainage (EUBD) in 95 patients. Ultraschall Med. 2015;36:276–83.

    CAS  PubMed  Google Scholar 

  19. Sagami R, Hayasaka K, Ujihara T, Nakahara R, Murakami D, Iwaki T, Katsuyama Y, Harada H, Tsuji H, Sato T, Nishikiori H, Murakami K, Amano Y. Feasibility of endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis patients receiving antithrombotic therapy. Ann Gastroenterol. 2020;33(4):391–7.

    PubMed  PubMed Central  Google Scholar 

  20. Kamata K, Takenaka M, Kitano M, Omoto S, Miyata T, Minaga K, Yamao K, Imai H, Sakurai T, Watanabe T, Nishida N, Kudo M. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis: long-term outcomes after removal of a self-expandable metal stent. World J Gastroenterol. 2017;23(4):661–7.

    Article  Google Scholar 

  21. Fugazza A, Colombo M, Repici A, Anderloni A. Endoscopic ultrasound-guided gallbladder drainage: current perspectives. Clin Exp Gastroenterol. 2020;13:193–201.

    Article  Google Scholar 

  22. Mohan BP, Asokkumar R, Shakhatreh M, Garg R, Ponnada S, Navaneethan U, Adler DG. Adverse events with lumen-apposing metal stents in endoscopic gallbladder drainage: a systematic review and meta-analysis. Endosc Ultrasound. 2019;8(4):241–8.

    Article  Google Scholar 

  23. Benallal DC, Hoibian S, Caillol F, Bories E, Presenti C, Ratone JP, Giovannini M. EUS–guided gastroenterostomy for afferent loop syndrome treatment stent. Endosc Ultrasound. 2018;7(6):418–9.

    Article  Google Scholar 

  24. Sharaiha RZ, Khan MA, Kamal F, et al. Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis. Gastrointest Endosc. 2017;85(5):904–14.

    Article  Google Scholar 

  25. Will U, Reichel A, Fueldner F, Meyer F. Endoscopic ultrasonography-guided drainage for patients with symptomatic obstruction and enlargement of the pancreatic duct. World J Gastroenterol. 2015;21:13140–51.

    Article  CAS  Google Scholar 

  26. Tyberg A, Sharaiha RZ, Kedia P, Kumta N, Gaidhane M, Artifon E, et al. EUS-guided pancreatic drainage for pancreatic strictures after failed ERCP: a multicenter international collaborative study. Gastrointest Endosc. 2017;85:164–9.

    Article  Google Scholar 

  27. Devière J. EUS-guided pancreatic duct drainage: a rare indication in need of prospective evidence. Gastrointest Endosc. 2017;85:178–80.

    Article  Google Scholar 

  28. Lessing Y, Pencovich N, Nevo N, Lubezky N, Goykhman Y, Nakache R, Guy Lahat JM, Klausner IN. Early reoperation following pancreaticoduodenectomy: impact on morbidity, mortality, and long-term survival. World J Surg Oncol. 2019;17:26.

    Article  Google Scholar 

  29. McCarty TR, Garg R, Thompson CC, Rustagi T. Efficacy and safety of EUS-guided gastroenterostomy for benign and malignant gastric outlet obstruction: a systematic review and meta-analysis. Endosc Int Open. 2019;7(11):E1474–82.

    Article  Google Scholar 

  30. Kerdsirichairat T, Irani S, Yang J, Brewer Gutierrez OI, Moran R, Sanaei O, Dbouk M, Kumbhari V, Singh VK, Kalloo AN, Khashab MA. Durability and long-term outcomes of direct EUS-guided gastroenterostomy using lumen-apposing metal stents for gastric outlet obstruction. Endosc Int Open. 2019;7(2):E144–50.

    Article  Google Scholar 

  31. Iqbal U, Khara HS, Hu Y, Kumar V, Tufail K, Confer B, Diehl DL. EUS-guided gastroenterostomy for the management of gastric outlet obstruction: a systematic review and meta-analysis. Endosc Ultrasound. 2020;9(1):16–23.

    Article  Google Scholar 

  32. Zhang WY, Li ZS, Jin ZD. Endoscopic ultrasound-guided ethanol ablation therapy for tumors. World J Gastroenterol. 2013;19(22):3397–403.

    Article  CAS  Google Scholar 

  33. Dąbkowski K, Gajewska P, Walter K, Londzin-Olesik M, Białek A, Andrysiak-Mammos E, Kos-Kudła B, Starzyńska T. Successful EUS-guided ethanol ablation of insulinoma, four-year follow-up. Case report and literature review. Endokrynol Pol. 2017;68(4):472–9.

    Article  Google Scholar 

  34. Barthet M, Giovannini M, Lesavre N, et al. Endoscopic ultrasound-guided radiofrequency ablation for pancreatic neuroendocrine tumors and pancreatic cystic neoplasms: a prospective multicenter study. Endoscopy. 2019;51(9):836–42.

    Article  Google Scholar 

  35. Lakhtakia S, Seo DW. Endoscopic ultrasonography-guided tumor ablation. Dig Endosc. 2017;29(4):486–94.

    Article  Google Scholar 

  36. Barret M, Leblanc S, Rouquette A, Chaussade S, Terris B, Prat F. EUS-guided pancreatic radiofrequency ablation: preclinical comparison of two currently available devices in a pig model. Endosc Int Open. 2019;7(2):E138–43.

    Article  Google Scholar 

  37. Hall PS, Teshima C, May GR, Mosko JD. Endoscopic ultrasound-guided vascular therapy: the present and the future. Clin Endosc. 2017;50(2):138–42.

    Article  Google Scholar 

  38. McCarty TR, Bazarbashi AN, Hathorn KE, Thompson CC, Ryou M. Combination therapy versus monotherapy for EUS-guided management of gastric varices: a systematic review and meta-analysis. Endosc Ultrasound. 2020;9(1):6–15.

    Article  Google Scholar 

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Authors and Affiliations

  1. SRH-Wald Klinikum Gera, Gera, Germany

    U. Will

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  1. U. Will
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Correspondence to U. Will .

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Editors and Affiliations

  1. Division of Minimally Invasive Surgery, Center for Fluorescence-Guided Surgery, Department of Surgery, University of California San Diego, La Jolla, CA, USA

    Santiago Horgan

  2. Center for the Future of Surgery, University of California San Diego, La Jolla, CA, USA

    Karl-Hermann Fuchs

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Will, U. (2021). Endoscopic Ultrasound-Guided Interventions. In: Horgan, S., Fuchs, KH. (eds) Innovative Endoscopic and Surgical Technology in the GI Tract . Springer, Cham. https://doi.org/10.1007/978-3-030-78217-7_16

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  • DOI: https://doi.org/10.1007/978-3-030-78217-7_16

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  • Online ISBN: 978-3-030-78217-7

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