Clinical Endoscopy

Kazuhide Higuchi

3 Articles

Technical Review of Developments in Endoscopic Ultrasound-Guided Hepaticogastrostomy: Takeshi Ogura, Kazuhide Higuchi; Clin Endosc 2021;54(5):651-659. Published online April 26, 2021; DOI: https://doi.org/10.5946/ce.2021.020-KDDW

Endoscopic ultrasound-guided biliary drainage has been developed as an alternative method for biliary drainage. EUS-guided hepaticogastrostomy (EUS-HGS) can be attempted via the trans-gastric route. These procedures are technically complex for two reasons. First, puncture of the intrahepatic bile duct via the trans-gastric route can be more difficult than that by other approaches because of the small diameter of the target site, and guidewire insertion or manipulation is challenging during EUS-HGS. Second, critical adverse events, such as stent migration into the abdominal cavity, could occur because of the greater mobility of the stomach compared to the duodenum. Therefore, endoscopists should be cautious when performing EUS-HGS. An advantage of EUS-HGS is that it can be performed in patients with complications such as duodenal bulb obstruction or surgically altered anatomy. Recent advances in technique and improvements in devices and stents for EUS-HGS have shown promise for improving the technical success rate of EUS-HGS and reducing the rate of adverse events. However, endoscopists should remain aware of the possibility of critical adverse events such as stent migration.

Citations

Citations to this article as recorded by

Propensity score matching analysis for clinical impact of braided-type versus laser-cut-type covered self-expandable metal stents for endoscopic ultrasound-guided hepaticogastrostomy
Mitsuki Tomita, Takeshi Ogura, Akitoshi Hakoda, Saori Ueno, Atsushi Okuda, Nobu Nishioka, Yoshitaro Yamamoto, Hiroki Nishikawa
Hepatobiliary & Pancreatic Diseases International.2024; 23(2): 181. CrossRef
Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
Kei Yane, Masahiro Yoshida, Takayuki Imagawa, Kotaro Morita, Hideyuki Ihara, Kota Hanada, Sota Hirokawa, Yusuke Tomita, Takeyoshi Minagawa, Yutaka Okagawa, Tetsuya Sumiyoshi, Michiaki Hirayama, Hitoshi Kondo
DEN Open.2024;[Epub] CrossRef
EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study
Hirotoshi Ishiwatari, Takeshi Ogura, Susumu Hijioka, Takuji Iwashita, Saburo Matsubara, Kazuma Ishikawa, Fumitaka Niiya, Junya Sato, Atsushi Okuda, Saori Ueno, Yoshikuni Nagashio, Yuta Maruki, Shinya Uemura, Akifumi Notsu
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Cureus.2024;[Epub] CrossRef
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Technique tips for fitting alignment of puncture route during EUS-guided hepaticogastrostomy (with video)
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Stent‐in‐stent technique in a case of difficult removal of a EUS‐guided hepaticogastrostomy partially covered metal stent due to mucosal hyperplasia (with video)
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Journal of Hepato-Biliary-Pancreatic Sciences.2023; 30(10): 1188. CrossRef
Loop technique for guidewire manipulation during endoscopic ultrasound‐guided hepaticogastrostomy
Haruo Miwa, Kazuya Sugimori, Yuto Matsuoka, Kazuki Endo, Ritsuko Oishi, Masaki Nishimura, Yuichiro Tozuka, Takashi Kaneko, Kazushi Numata, Shin Maeda
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iGIE.2023; 2(3): 386. CrossRef
EUS–guided transhepatic metal stent deployment technique without tract dilation using a 0.018-inch guidewire (with video)
Takeshi Ogura, Jyunichi Kawai, Kyohei Nishiguchi, Yoshitaro Yamamoto, Kazuhide Higuchi
Endoscopic Ultrasound.2023;[Epub] CrossRef
The writing on the wall: self-expandable stents for endoscopic ultrasound-guided hepaticogastrostomy?
Hyung Ku Chon, Shayan Irani, Tae Hyeon Kim
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Rescue technique after endoscopic ultrasound-guided hepaticogastrostomy stent dislocation
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Gunn Huh, Tae Jun Song
The Korean Journal of Pancreas and Biliary Tract.2021; 26(4): 248. CrossRef

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Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: Techniques and Literature Review of Transmural Stenting: Akira Imoto, Takeshi Ogura, Kazuhide Higuchi; Clin Endosc 2020;53(5):525-534. Published online September 24, 2020; DOI: https://doi.org/10.5946/ce.2020.173

Abstract PDF PubReader ePub

Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) has emerged as an option in patients with failure of retrograde access to the pancreatic duct (PD) because of difficulty in cannulation or surgically altered anatomy. This article provides a comprehensive review of the techniques and outcomes of EUS-PD, especially EUS-guided pancreatic transmural stenting. The clinical data derived from a total of 401 patients were reviewed in which the overall technical and clinical success rates were 339/401 (85%, range 63%–100%) and 328/372 (88%, range 76%–100%), respectively. Short-term adverse events occurred in 25% (102/401) of the cases, which included abdominal pain (n=45), acute pancreatitis (n=17), bleeding (n=10), and issues associated with pancreatic juice leakage such as perigastric or peripancreatic fluid collection (n=9). In conclusion, although EUS-PD remains a challenging procedure with a high risk of adverse events such as pancreatic juice leakage, perforation, and severe acute pancreatitis, the procedure seems to be a promising alternative for PD drainage in patients with altered anatomy or unsuccessful endoscopic retrograde pancreatography.

Citations

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Technical review of endoscopic ultrasound‐guided drainage/anastomosis and trans‐endosonographically created route procedures for the treatment of pancreatic diseases
Ko Tomishima, Hiroyuki Isayama, Akinori Suzuki, Shigeto Ishii, Sho Takahashi, Toshio Fujisawa
DEN Open.2025;[Epub] CrossRef
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Rodrigo Garcés-Durán, Laurent Monino, Pierre H Deprez, Hubert Piessevaux, Tom G Moreels
Hepatobiliary & Pancreatic Diseases International.2024; 23(5): 509. CrossRef
EUS-guided pancreatic duct drainage: a single-center observational study
Elodie Romailler, Anouk Voutaz, Sarra Oumrani, Mariola Marx, Maxime Robert, Fabrice Caillol, Alain Schoepfer, Sébastien Godat
iGIE.2024; 3(2): 237. CrossRef
Endoscopic ultrasound-guided pancreatic duct drainage: a comprehensive state of the art review
Jayanta Samanta, Abhirup Chatterjee, Jahnvi Dhar, Zaheer Nabi, Michiel Bronswijk, Manik Aggarwal, Antonio Facciorusso, Paraskevas Gkolfakis, Takeshi Ogura, Schalk Van der Merwe, Sundeep Lakhtakia
Expert Review of Gastroenterology & Hepatology.2024; 18(7): 351. CrossRef
Progress in minimally invasive treatment of biliary pancreatic duct obstruction after digestive tract reconstruction by endoscopic retrograde cholangiopancreatography
Ru-Yi Wang, Zhen Fan
World Chinese Journal of Digestology.2024; 32(7): 490. CrossRef
Safety and efficacy of endoscopic ultrasound-guided pancreatic duct drainage using a drill dilator: a retrospective study in Japan
Ahmed Sadek, Kazuo Hara, Nozomi Okuno, Shin Haba, Takamichi Kuwahara, Toshitaka Fukui, Minako Urata, Takashi Kondo, Yoshitaro Yamamoto, Kenneth Tachi
Clinical Endoscopy.2024; 57(5): 666. CrossRef
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Han Taek Jeong, Jimin Han
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A novel fluoroscopic system improves visibility of devices during endoscopic ultrasound-guided pancreatic duct drainage
Takeshi Ogura, Yuki Uba, Nobuhiro Hattori, Kimi Bessho, Hiroki Nishikawa
Endoscopy.2024; 56(S 01): E831. CrossRef
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Michael Lajin, Cainan Foltz, Hong-Der Lin, Michael Romero, Kian Bagheri
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A case of successful endoscopic ultrasound/endosonography-guided pancreaticogastrostomy using a novel plastic stent
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Endoscopy.2024; 56(S 01): E905. CrossRef
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Tae Hyeon Kim, Hyung Ku Chon
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21 Web of Science
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Endoscopic Ultrasound-Guided Pancreatic Transmural Stenting and Transmural Intervention: Takeshi Ogura, Hideko Ohama, Kazuhide Higuchi; Clin Endosc 2020;53(4):429-435. Published online November 27, 2019; DOI: https://doi.org/10.5946/ce.2019.130

Abstract PDF PubReader ePub

Endoscopic ultrasound (EUS)-guided pancreatic access is an emergent method that can be divided into the two main techniques of EUS-guided rendezvous and pancreatic transmural stenting (PTS). While many reports have described EUS-guided procedures, the indications, technical tips, clinical effects, and safety of EUS-guided pancreatic duct drainage (EUS-PD) remain controversial. This review describes the current status of and problems associated with EUS-PD, particularly PTS. We reviewed clinical data derived from a total of 334 patients. Rates of technical and clinical success ranged from 63% to 100% and 76% to 100%, respectively. In contrast, the rate of procedure-related adverse events was high at 26.7% (89/334). The most frequent adverse events comprised abdominal pain (n=38), acute pancreatitis (n=15), bleeding (n=9), and issues associated with pancreatic juice leakage such as perigastric fluid, pancreatic fluid collection, or pancreatic juice leaks (n=8). In conclusion, indications for EUS-PTS are limited, as is the evidence of its viability, due to the scarcity of expert operators. Despite improvements made to various devices, EUS-PTS remains technically challenging. Therefore, a long-term, large-scale, multicenter study is required to establish this technique as a viable alternative drainage method.

Citations

Citations to this article as recorded by

Needle-free technique for guidewire manipulation during endoscopic ultrasound-guided pancreatic duct drainage
Takeshi Ogura, Masahiro Yamamura, Mitsuki Tomita, Jun Sakamoto, Hiroki Nishikawa
Endoscopy.2024; 56(S 01): E184. CrossRef
EUS-guided pancreatic duct drainage: a single-center observational study
Elodie Romailler, Anouk Voutaz, Sarra Oumrani, Mariola Marx, Maxime Robert, Fabrice Caillol, Alain Schoepfer, Sébastien Godat
iGIE.2024; 3(2): 237. CrossRef
Endoscopic ultrasound-guided pancreatic duct drainage: a comprehensive state of the art review
Jayanta Samanta, Abhirup Chatterjee, Jahnvi Dhar, Zaheer Nabi, Michiel Bronswijk, Manik Aggarwal, Antonio Facciorusso, Paraskevas Gkolfakis, Takeshi Ogura, Schalk Van der Merwe, Sundeep Lakhtakia
Expert Review of Gastroenterology & Hepatology.2024; 18(7): 351. CrossRef
Training and quality indicators in interventional endoscopic ultrasound
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Digestive Endoscopy.2024;[Epub] CrossRef
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Endoscopy International Open.2024; 12(08): E955. CrossRef
Safety and efficacy of endoscopic ultrasound-guided pancreatic duct drainage using a drill dilator: a retrospective study in Japan
Ahmed Sadek, Kazuo Hara, Nozomi Okuno, Shin Haba, Takamichi Kuwahara, Toshitaka Fukui, Minako Urata, Takashi Kondo, Yoshitaro Yamamoto, Kenneth Tachi
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A novel fluoroscopic system improves visibility of devices during endoscopic ultrasound-guided pancreatic duct drainage
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A novel spiral dilator for pancreatic duct drainage: catching two birds with one stone
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284 Download
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