Endoscopic entero-enteral bypass to treat postsurgical benign complications of hepatico-jejunostomy: Update of a 7-year single-center experience
Abstract Background and study aims Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years. Patients and methods Patients with BAEs on hepatico-jejunostom...
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| Published in | Endoscopy International Open Vol. 11; no. 4; pp. E394 - E400 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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Rüdigerstraße 14, 70469 Stuttgart, Germany
Georg Thieme Verlag KG
01.04.2023
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| Abstract | Abstract
Background and study aims
Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years.
Patients and methods
Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop. Evaluation of results during our seven-year experience was performed.
Results
Eighty consecutive patients (32 patients from Jan 2014 to Dec 2017 and 48 patients from Jan 2018 to Jan 2021) underwent EEEB, which was successful in all but one patient. The cumulative AEs rate was 32 %. Endoscopic retrograde cholangiography (ERC) through the EEEB successfully treated all types of BAEs in these patients. Cumulative disease recurrence was 3.8 % (three patients) and was retreated through the EEEB.
Conclusions
The update of our experience with EEEB confirmed that in patients with BAEs after bilio-digestive anastomosis, EEEB allows successful long-term treatment of different BAEs in a tertiary referral center with an acceptable rate of related AEs. |
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| AbstractList | Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years.
Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop. Evaluation of results during our seven-year experience was performed.
Eighty consecutive patients (32 patients from Jan 2014 to Dec 2017 and 48 patients from Jan 2018 to Jan 2021) underwent EEEB, which was successful in all but one patient. The cumulative AEs rate was 32 %. Endoscopic retrograde cholangiography (ERC) through the EEEB successfully treated all types of BAEs in these patients. Cumulative disease recurrence was 3.8 % (three patients) and was retreated through the EEEB.
The update of our experience with EEEB confirmed that in patients with BAEs after bilio-digestive anastomosis, EEEB allows successful long-term treatment of different BAEs in a tertiary referral center with an acceptable rate of related AEs. Background and study aims Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years. Patients and methods Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop. Evaluation of results during our seven-year experience was performed. Results Eighty consecutive patients (32 patients from Jan 2014 to Dec 2017 and 48 patients from Jan 2018 to Jan 2021) underwent EEEB, which was successful in all but one patient. The cumulative AEs rate was 32 %. Endoscopic retrograde cholangiography (ERC) through the EEEB successfully treated all types of BAEs in these patients. Cumulative disease recurrence was 3.8 % (three patients) and was retreated through the EEEB. Conclusions The update of our experience with EEEB confirmed that in patients with BAEs after bilio-digestive anastomosis, EEEB allows successful long-term treatment of different BAEs in a tertiary referral center with an acceptable rate of related AEs. Abstract Background and study aims Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years. Patients and methods Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop. Evaluation of results during our seven-year experience was performed. Results Eighty consecutive patients (32 patients from Jan 2014 to Dec 2017 and 48 patients from Jan 2018 to Jan 2021) underwent EEEB, which was successful in all but one patient. The cumulative AEs rate was 32 %. Endoscopic retrograde cholangiography (ERC) through the EEEB successfully treated all types of BAEs in these patients. Cumulative disease recurrence was 3.8 % (three patients) and was retreated through the EEEB. Conclusions The update of our experience with EEEB confirmed that in patients with BAEs after bilio-digestive anastomosis, EEEB allows successful long-term treatment of different BAEs in a tertiary referral center with an acceptable rate of related AEs. Background and study aims Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years. Patients and methods Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop. Evaluation of results during our seven-year experience was performed. Results Eighty consecutive patients (32 patients from Jan 2014 to Dec 2017 and 48 patients from Jan 2018 to Jan 2021) underwent EEEB, which was successful in all but one patient. The cumulative AEs rate was 32 %. Endoscopic retrograde cholangiography (ERC) through the EEEB successfully treated all types of BAEs in these patients. Cumulative disease recurrence was 3.8 % (three patients) and was retreated through the EEEB. Conclusions The update of our experience with EEEB confirmed that in patients with BAEs after bilio-digestive anastomosis, EEEB allows successful long-term treatment of different BAEs in a tertiary referral center with an acceptable rate of related AEs. Background and study aims Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years. Patients and methods Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop. Evaluation of results during our seven-year experience was performed. Results Eighty consecutive patients (32 patients from Jan 2014 to Dec 2017 and 48 patients from Jan 2018 to Jan 2021) underwent EEEB, which was successful in all but one patient. The cumulative AEs rate was 32 %. Endoscopic retrograde cholangiography (ERC) through the EEEB successfully treated all types of BAEs in these patients. Cumulative disease recurrence was 3.8 % (three patients) and was retreated through the EEEB. Conclusions The update of our experience with EEEB confirmed that in patients with BAEs after bilio-digestive anastomosis, EEEB allows successful long-term treatment of different BAEs in a tertiary referral center with an acceptable rate of related AEs. |
| Author | Bravo, Marianna Mutignani, Massimiliano Pugliese, Francesco Cintolo, Marcello Forti, Edoardo Bonato, Giulia Dioscoridi, Lorenzo |
| AuthorAffiliation | 1 Digestive and Interventional Endoscopy Unit, Niguarda-Ca’ Granda Hospital, Milan, Italy |
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| Cites_doi | 10.1111/den.12254 10.1055/a-1025-1919 10.1007/s00330-018-5526-8 10.1055/a-0914-2855 10.1148/radiol.2491080050 10.1055/s-0043-105072 10.1055/s-0043-109865 10.1016/j.gie.2016.06.007 10.1055/s-0034-1392424 10.1016/j.gie.2021.11.038 10.1016/j.gie.2015.03.1926 10.1055/s-0042-101789 10.4253/wjge.v7.i3.278 10.1016/j.gie.2014.04.007 10.1111/den.12509 10.1055/s-0042-108568 |
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| References | T Tomoda (ref2) 2015; 27 M E Zouhairi (ref3) 2015; 7 P Kedia (ref5) 2015; 81 S Ngamreuengphong (ref11) 2017; 49 M Giovannini (ref6) 2015; 81 C P Cantwell (ref14) 2008; 249 G Blanco-Velasco (ref4) 2016; 48 K Majmudar (ref9) 2016; 84 M Mutignani (ref8) 2015; 47 L Dioscoridi (ref16) 2020; 52 K J Nass (ref13) 2022; 95 A Tyberg (ref10) 2016; 4 M A Khan (ref7) 2017; 49 E Dhondt (ref15) 2019; 29 M Mutignani (ref12) 2019; 51 F Itokawa (ref1) 2014; 26 |
| References_xml | – volume: 26 start-page: 136 year: 2014 ident: ref1 article-title: Single- and double-ballon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y plus hepaticojejunostomy anastomosis and Whipple resection publication-title: Dig Endosc doi: 10.1111/den.12254 – volume: 52 start-page: E134 year: 2020 ident: ref16 article-title: Buried lumen-apposing metal stent after gastrojejunal bypass publication-title: Endoscopy doi: 10.1055/a-1025-1919 – volume: 29 start-page: 636 year: 2019 ident: ref15 article-title: Benign anastomotic biliary strictures untreatable by ERCP: a novel percutaneous balloon dilatation technique avoiding indwelling catheters publication-title: Eur Radiol doi: 10.1007/s00330-018-5526-8 – volume: 51 start-page: 1146 year: 2019 ident: ref12 article-title: Endoscopic entero-enteral bypass: an effective new approach to the treatment of postsurgical complications of hepaticojejunostomy publication-title: Endoscopy doi: 10.1055/a-0914-2855 – volume: 249 start-page: 1050 year: 2008 ident: ref14 article-title: Thirty years' experience with balloon dilation of benign postoperative biliary strictures: long-term outcomes publication-title: Radiology doi: 10.1148/radiol.2491080050 – volume: 49 start-page: 549 year: 2017 ident: ref11 article-title: Endoscopic ultrasound-guided creation of a transgastric fistula for the management of hepatobiliary disease in patients with Roux-en-Y gastric bypass publication-title: Endoscopy doi: 10.1055/s-0043-105072 – volume: 49 start-page: 682 year: 2017 ident: ref7 article-title: Efficacy of self-expandable metal stents in management of benign biliary strictures and comparison with multiple plastic stents: a meta-analysis publication-title: Endoscopy doi: 10.1055/s-0043-109865 – volume: 84 start-page: 853 year: 2016 ident: ref9 article-title: EUS-guided jejuno-jejunostomy with lumen-apposing metal stent for complete jejunal obstruction after gastric bypass publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2016.06.007 – volume: 47 start-page: E350 year: 2015 ident: ref8 article-title: Endoscopic ultrasound-guided duodenojejunal anastomosis to treat postsurgical Roux-en-Y hepaticojejunostomy stricture: a dream or a reality? publication-title: Endoscopy doi: 10.1055/s-0034-1392424 – volume: 95 start-page: 1078 year: 2022 ident: ref13 article-title: Novel classification for adverse events in GI endoscopy: the AGREE classification publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2021.11.038 – volume: 81 start-page: AB174 year: 2015 ident: ref6 article-title: 855 multicentric randomized phase II study: percutaneous biliary drainage vs EUS guided biliary drainage: results of the intermediate analysis publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2015.03.1926 – volume: 4 start-page: E276 year: 2016 ident: ref10 article-title: Endoscopic ultrasound-guided gastrojejunostomy with lumen-apposing metal stent: a multicenter, international experience publication-title: Endosc Int Open doi: 10.1055/s-0042-101789 – volume: 7 start-page: 278 year: 2015 ident: ref3 article-title: Rotational assisted endoscopic retrograde cholangiopancreatography in patients with reconstructive gastrointestinal surgical anatomy publication-title: World J Gastrointest Endosc doi: 10.4253/wjge.v7.i3.278 – volume: 81 start-page: 223 year: 2015 ident: ref5 article-title: Bypassing the bypass: EUS-directed transgastric ERCP for Roux-en-Y anatomy publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2014.04.007 – volume: 27 start-page: 775 year: 2015 ident: ref2 article-title: Comparison between Roux-en-Y patients with and without gastrectomy during endoscopic retrograde cholangiopancreatography using a short double-baloon enteroscope publication-title: Dig Endosc doi: 10.1111/den.12509 – volume: 48 start-page: E197 year: 2016 ident: ref4 article-title: Treatment of a bile duct leak with ERCP double-baloon enteroscopy in a patient with Roux-en-Y reconstruction publication-title: Endoscopy doi: 10.1055/s-0042-108568 |
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Background and study aims
Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after... Background and study aims Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive... Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide... Background and study aims Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after... |
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| Title | Endoscopic entero-enteral bypass to treat postsurgical benign complications of hepatico-jejunostomy: Update of a 7-year single-center experience |
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