EUS-guided Entero-biliary Anastomosis for Therapeutic Access in Benign Biliary Obstructions
EUS-guided Entero-biliary Anastomosis as Fistulas for Therapeutic Access in Benign Biliary Obstructions Not Accessible by ERCP
Hospital del Rio Hortega
50 participants
Jun 1, 2021
OBSERVATIONAL
Conditions
Summary
Background: Transpapillary EUS-BD (rendezvous/antegrade) is gaining acceptance in BBO. The potential of transmural EUS-BD (hepaticogastrostomy/choledochoduodenostomy) in complex BBO warrants study. Aims: To assess feasibility and efficacy of TEA using transmural covered self-expandable metal-stents (cSEMS) to provide interval biliary drainage and create TAF for biliary endotherapy under cholangioscopy or fluoroscopy in BBO not amenable to ERCP.
Eligibility
Inclusion Criteria3
- • Consecutive patients ≥ 18 years old.
- Benign biliary obstruction.
- ERCP failed or where ERCP could not be performed due to surgically-altered anatomy
Exclusion Criteria6
- • Refusal to sign the informed consent.
- Malignant biliary obstruction
- Coagulopathy (INR\>1.5) or trombocytopenia (\<50,000 platelets/mm3) uncorrectable.
- Inability to tolerate the sedation necessary for the examination.
- Pregnancy or lactation.
- Unable to follow-up
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Interventions
EUS-guided Entero-biliary Anastomosis
Locations(1)
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NCT05246657