Defining failure of endoluminal biliary drainage in the era of endoscopic ultrasound and lumen apposing metal stents

The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therap...

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Published in:World journal of gastroenterology : WJG Vol. 30; no. 29; p. 3534
Main Authors: Ali, Faisal S, Guha, Sushovan
Format: Journal Article
Language:English
Published: United States 07.08.2024
Subjects:
Bile Ducts - diagnostic imaging
Bile Ducts - surgery
Cholangiopancreatography, Endoscopic Retrograde - instrumentation
Cholangiopancreatography, Endoscopic Retrograde - methods
Cholestasis - diagnostic imaging
Cholestasis - etiology
Cholestasis - surgery
Cholestasis - therapy
Drainage - instrumentation
Drainage - methods
Endosonography - instrumentation
Endosonography - methods
Humans
Metals
Stents
Treatment Failure
Lumen-apposing metal stent
Gallbladder
Biliary obstruction
Guided biliary drainage
Endoscopic ultrasound
ISSN:2219-2840, 2219-2840
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Abstract The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therapeutic endoscopy, what was once considered endoscopic failure has transformed into failure of an approach that could be salvaged by a second- or third-line endoscopic strategy. Incorporation of these advancements in routine patient care will require formal training and multidisciplinary acceptance of established techniques and collaboration for advancement of experimental techniques to generate robust evidence that can be utilized to serve patients to the best of our ability.
AbstractList The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therapeutic endoscopy, what was once considered endoscopic failure has transformed into failure of an approach that could be salvaged by a second- or third-line endoscopic strategy. Incorporation of these advancements in routine patient care will require formal training and multidisciplinary acceptance of established techniques and collaboration for advancement of experimental techniques to generate robust evidence that can be utilized to serve patients to the best of our ability.
The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therapeutic endoscopy, what was once considered endoscopic failure has transformed into failure of an approach that could be salvaged by a second- or third-line endoscopic strategy. Incorporation of these advancements in routine patient care will require formal training and multidisciplinary acceptance of established techniques and collaboration for advancement of experimental techniques to generate robust evidence that can be utilized to serve patients to the best of our ability.The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therapeutic endoscopy, what was once considered endoscopic failure has transformed into failure of an approach that could be salvaged by a second- or third-line endoscopic strategy. Incorporation of these advancements in routine patient care will require formal training and multidisciplinary acceptance of established techniques and collaboration for advancement of experimental techniques to generate robust evidence that can be utilized to serve patients to the best of our ability.
Author Guha, Sushovan
Ali, Faisal S
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  givenname: Faisal S
  surname: Ali
  fullname: Ali, Faisal S
  organization: Department of Gastroenterology, Hepatology, and Nutrition, University of Texas Health Science Center at Houston, Huston, TX 77054, United States
– sequence: 2
  givenname: Sushovan
  surname: Guha
  fullname: Guha, Sushovan
  email: sguha@hrgastro.com
  organization: Department of Clinical Sciences, Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX 77204, United States. sguha@hrgastro.com
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Keywords Lumen-apposing metal stent
Gallbladder
Biliary obstruction
Guided biliary drainage
Endoscopic ultrasound
Language English
License The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
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SubjectTerms Bile Ducts - diagnostic imaging
Bile Ducts - surgery
Cholangiopancreatography, Endoscopic Retrograde - instrumentation
Cholangiopancreatography, Endoscopic Retrograde - methods
Cholestasis - diagnostic imaging
Cholestasis - etiology
Cholestasis - surgery
Cholestasis - therapy
Drainage - instrumentation
Drainage - methods
Endosonography - instrumentation
Endosonography - methods
Humans
Metals
Stents
Treatment Failure
Title Defining failure of endoluminal biliary drainage in the era of endoscopic ultrasound and lumen apposing metal stents
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