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Safety of early oral intake after endoscopic ultrasound-guided hepaticoenterostomy

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Abstract

Background

Techniques and devices for endoscopic ultrasound (EUS)-guided hepaticoenterostomy (EUS-HES) procedures, including EUS-guided hepaticogastrostomy (EUS-HGS) and EUS-guided hepaticojejunostomy (EUS-HJS), have been developed; however, the optimal timing to begin oral intake after EUS-HES remains unknown. This study aimed to evaluate the safety of early oral intake after EUS-HES.

Methods

We retrospectively investigated patients who underwent EUS-HES (EUS-HGS or EUS-HJS) between March 2015 and March 2022. Patients who had no problems with the results of blood tests and computed tomography examinations on the morning of day 1 after EUS-HES were classified as either the early intake group (started oral intake on day 1 after EUS-HES) or the late intake group (started oral intake on day 2 or later after EUS-HES). Patients’ characteristics, procedure characteristics, and early postprocedural adverse events (within 14 days after the procedure) were compared between groups.

Results

Fifty patients were enrolled in this study. Forty-three patients had no problems with the results of examinations performed on the morning of day 1 after EUS-HES. Twenty-one patients comprised the early intake group and 22 comprised the late intake group. Adverse events that developed within 14 days after EUS-HES were not significantly different between groups (early 4.7% vs. late 9.0%; odds ratio, 0.50; 95% confidence interval, 0.0080-10.49; P = 1.00).

Conclusions

Starting oral intake on day 1 after EUS-HES did not increase postprocedural adverse events compared with starting oral intake on day 2 or later after EUS-HES.

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Authors and Affiliations

  1. Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-Cho, Kamigyo-Ku, Kyoto, 602-8026, Japan

    Koichiro Mandai, Takato Inoue, Ryo Shinomiya, Takaaki Yoshimoto, Tomoya Ogawa, Koji Uno & Kenjiro Yasuda

Authors
  1. Koichiro Mandai
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  2. Takato Inoue
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  3. Ryo Shinomiya
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  4. Takaaki Yoshimoto
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  5. Tomoya Ogawa
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  6. Koji Uno
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  7. Kenjiro Yasuda
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Corresponding author

Correspondence to Koichiro Mandai.

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Disclosures

Drs. Koichiro Mandai, Takato Inoue, Ryo Shinomiya, Takaaki Yoshimoto, Tomoya Ogawa, Koji Uno, and Kenjiro Yasuda have no conflicts of interest or financial ties to disclose.

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Mandai, K., Inoue, T., Shinomiya, R. et al. Safety of early oral intake after endoscopic ultrasound-guided hepaticoenterostomy. Surg Endosc 37, 3449–3454 (2023). https://doi.org/10.1007/s00464-022-09835-1

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  • DOI: https://doi.org/10.1007/s00464-022-09835-1

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