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Safety and Utility of Single-Session Endoscopic Ultrasonography and Endoscopic Retrograde Cholangiopancreatography for the Evaluation of Pancreatobiliary Diseases

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Title: Safety and Utility of Single-Session Endoscopic Ultrasonography and Endoscopic Retrograde Cholangiopancreatography for the Evaluation of Pancreatobiliary Diseases
Authors: Kawakubo, Kazumichi Browse this author
Kawakami, Hiroshi Browse this author →KAKEN DB
Kuwatani, Masaki Browse this author →KAKEN DB
Haba, Shin Browse this author
Kudo, Taiki Browse this author
Abe, Yoko Browse this author
Kawahata, Shuhei Browse this author
Onodera, Manabu Browse this author
Ehira, Nobuyuki Browse this author
Eto, Kazunori Browse this author
Sakamoto, Naoya Browse this author →KAKEN DB
Keywords: Endoscopic retrograde cholangiopancreatography
Endoscopic ultrasound
Single-session procedure
Issue Date: May-2014
Publisher: Editorial Office of Gut & Liver
Journal Title: Gut and Liver
Volume: 8
Issue: 3
Start Page: 329
End Page: 332
Publisher DOI: 10.5009/gnl.2014.8.3.329
PMID: 24827632
Abstract: Endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) are essential for diagnosing and treating pancreatobiliary diseases. Single-session EUS and ERCP are considered to be essential in reducing the duration of hospital stays; however, complications are a primary concern. The aim of this study was to evaluate the safety and efficacy of single-session EUS and ERCP. Sixty-eight patients underwent single-session EUS and ERCP at a tertiary referral center between June 2008 and December 2012. We retrospectively reviewed patient data from a prospectively maintained EUS-ERCP database and evaluated the procedural characteristics and complications. Thirty-eight patients (56%) underwent diagnostic EUS, and 30 patients (44%) underwent EUS fine-needle aspiration, which had an overall accuracy of 100%. Sixty patients (89%) underwent therapeutic ERCP, whereas the remaining eight procedures were diagnostic. Thirteen patients underwent biliary stone extraction, and 48 underwent biliary drainage. The median total procedural time was 75 minutes. Complications were observed in seven patients (10%). Six complications were post-ERCP pancreatitis,,which were resolved using conservative management. One patient developed Mallory-Weiss syndrome, which required endoscopic hemostasis. No sedation-related cardiopulmonary complications were observed. Single-session EUS and ERCP provided accurate diagnosis and effective management with a minimal complication rate.
Rights: http://creativecommons.org/licenses/by-nc/3.0/us/
Type: article
URI: http://hdl.handle.net/2115/56536
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 河上 洋

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