EUS-assisted biliodigestive anastomoses for malignant mechanical jaundice
https://doi.org/10.16931/1995-5464.2019127-35
Abstract
Aim. To assess the role of endoscopic ultrasonography (EUS) in bile duct drainage for malignant mechanical jaundice followed by abnormal anatomy of upper gastrointestinal tract.
Material and methods. There were 43 attempts to form EUS-assisted biliodigestive anastomoses in 43 patients for the period 2014–2018. Procedure was successful in 33 (76.74%) patients.
Results. Two periods were identified to analyze the results. The first period (2014–2015) included 21 patients who underwent surgery, the second period (2016–2018) – 22 patients. In the first period, the effectiveness of EUS-assisted procedures was 57%, in the second one – 96%.
Conclusion. EUS-assisted biliodigestive anastomoses are useful for biliary decompression in various anatomical situations including switching off the duodenum from food passage. These operation is safe alternative to other types of decompression with accumulation of experience.
About the Authors
M. N. Rudakova
Oncological Hospital of the Pletnev Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Mariya N. Rudakova – Doct. of Med. Sci., Head of the Department of Abdominal Oncology, Oncologist of the Highest Qualification Category
51, 3-ya Parkovaya str., Moscow, 105425
K. Yu. Ryabov
Oncological Hospital of the Pletnev Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Konstantin Yu. Ryabov – Physician of the Department of Abdominal Oncology, Oncologist of the Highest Qualification Category, Endoscopist of the Highest Qualification Category
51, 3-ya Parkovaya str., Moscow, 105425. Phone: 8-965-201-93-58
A. G. Zhevelyuk
Oncological Hospital of the Pletnev Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Alexander G. Zhevelyuk – Cand. of Med. Sci., Head
51, 3-ya Parkovaya str., Moscow, 105425
M. M. Trandofilov
Oncological Hospital of the Pletnev Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Mikhail M. Trandofilov – Doct. of Med. Sci., Oncologist of the Department of Abdominal Oncology
51, 3-ya Parkovaya str., Moscow, 105425
A. V. Prokhorov
Oncological Hospital of the Pletnev Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Andrey V. Prokhorov – Head of the Department of Functional Diagnosis
51, 3-ya Parkovaya str., Moscow, 105425
A. Yu. Popov
Oncological Hospital of the Pletnev Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Anatoly Yu. Popov – Cand. of Med. Sci., Head of the Department of Chemotherapy
51, 3-ya Parkovaya str., Moscow, 105425
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Review
For citations:
Rudakova M.N., Ryabov K.Yu., Zhevelyuk A.G., Trandofilov M.M., Prokhorov A.V., Popov A.Yu. EUS-assisted biliodigestive anastomoses for malignant mechanical jaundice. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(1):27-35. (In Russ.) https://doi.org/10.16931/1995-5464.2019127-35
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