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      Technical tips and recent development of endoscopic ultrasound‐guided choledochoduodenostomy

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          Abstract

          Various efforts to improve technical success rates and decrease adverse event rates have also been described in endoscopic ultrasound (EUS)‐guided choledochoduodenostomy (CDS). In particular, lumen‐apposing metal stents (LAMS) may open novel opportunities in EUS‐biliary drainage (BD). To date, various studies have been reported with EUS‐CDS using LAMS, so we should clarify the benefits and limitations of recent EUS‐CDS based on developments in both techniques and devices. In this review, we provide technical tips and describe recent developments in EUS‐CDS, along with a review of the recent literature (between 2015 and 2020). The overall technical success rate is 95.0% (939/988), and the overall clinical success rate is 97.0% (820/845). The most frequent adverse event is cholangitis or cholecystitis (24.5%, 27/110). According to previous review, pneumoperitoneum (28%, 9/34) or peritonitis associated with bile leak (23.5%, 8/34) was most commonly observed. This difference might be based on improvements in dilation devices or the use of covered metal stents. Several randomized controlled trials comparing EUS‐CDS and endoscopic retrograde cholangiopancreatography (ERCP) for malignant biliary obstruction have recently been reported. To summarize, overall technical success rates for ERCP and EUS‐CDS were 92.7% (101/109) and 91.1% (72/79), respectively ( p = 0.788). Overall clinical success rates for ERCP and EUS‐CDS were 94.1% (96/102) and 93.6% (72/78), respectively ( p = 0.765). Further high‐quality evidence is needed to establish EUS‐CDS as a primary drainage technique.

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          Most cited references42

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          EUS-Guided Biliary Drainage Versus ERCP for the Primary Palliation of Malignant Biliary Obstruction: A Multicenter Randomized Clinical Trial

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            Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction: prospective randomized controlled study

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              Stent placement by EUS or ERCP for primary biliary decompression in pancreatic cancer: a randomized trial (with videos).

              Studies on EUS-guided transmural biliary drainage (EUS-BD) have evaluated its efficacy as a rescue technique after failed ERCP. We performed a single-center, single-blind, randomized trial to compare EUS-BD and ERCP as primary treatment for distal biliary obstruction in pancreatic cancer.
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                Author and article information

                Contributors
                oguratakeshi0411@yahoo.co.jp
                Journal
                DEN open
                DEN open
                10.1002/(ISSN)2692-4609
                DEO2
                DEN Open
                John Wiley and Sons Inc. (Hoboken )
                2692-4609
                21 April 2021
                April 2021
                : 1
                : 1 ( doiID: 10.1002/deo2.v1.1 )
                : e8
                Affiliations
                [ 1 ] 2nd Department of Internal Medicine Osaka Medical College Osaka Japan
                [ 2 ] Depaertment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan
                Author notes
                [*] [* ] Correspondece

                Takeshi Ogura, 2nd Department of Internal Medicine, Osaka Medical College, 2–7 Daigakuchou, Takatsukishi, Osaka 569‐8686, Japan.

                Email: oguratakeshi0411@ 123456yahoo.co.jp

                Author information
                https://orcid.org/0000-0003-2916-6568
                Article
                DEO28
                10.1002/deo2.8
                8828248
                35310149
                a85f1b53-b6d6-4e23-a866-0ee8d751a071
                © 2021 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 01 March 2021
                : 18 February 2021
                : 02 March 2021
                Page count
                Figures: 4, Tables: 2, Pages: 10, Words: 6017
                Categories
                Review
                Reviews
                Custom metadata
                2.0
                April 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.1 mode:remove_FC converted:08.02.2022

                adverse events,eus,eus‐cds,eus‐guided biliary drainage,lumen‐apposing metal stent

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