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

Kawakubo, Kazumichi; Kawakami, Hiroshi; Kuwatani, Masaki; Haba, Shin; Kudo, Taiki; Abe, Yoko; Kawahata, Shuhei; Onodera, Manabu; Ehira, Nobuyuki; Eto, Kazunori; Sakamoto, Naoya

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

Kawakubo, Kazumichi; Kawakami, Hiroshi; Kuwatani, Masaki et al.

Gut and Liver, 2014, 8(3), 329-332

Permalink : https://hdl.handle.net/2115/56536

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アクセス権	open access
URI	https://hdl.handle.net/2115/56536
タイトル	Safety and Utility of Single-Session Endoscopic Ultrasonography and Endoscopic Retrograde Cholangiopancreatography for the Evaluation of Pancreatobiliary Diseases
著者	Kawakubo, Kazumichi ; Kawakami, Hiroshi ; Kuwatani, Masaki ; Haba, Shin ; Kudo, Taiki ; Abe, Yoko ; Kawahata, Shuhei ; Onodera, Manabu ; Ehira, Nobuyuki ; Eto, Kazunori ; Sakamoto, Naoya
著者名 Kawakubo, Kazumichi
e-Rad_Researcher 80399823 著者名 Kawakami, Hiroshi
e-Rad_Researcher 50431375 著者名 Kuwatani, Masaki
著者名 Haba, Shin
著者名 Kudo, Taiki
著者名 Abe, Yoko
著者名 Kawahata, Shuhei
著者名 Onodera, Manabu
著者名 Ehira, Nobuyuki
著者名 Eto, Kazunori
e-Rad_Researcher 10334418 著者名 Sakamoto, Naoya
言語	英語
キーワード	Endoscopic retrograde cholangiopancreatography
	Endoscopic ultrasound
	Single-session procedure
発行日	2014-05
出版者	Editorial Office of Gut & Liver
収録物名	Gut and Liver
巻(号)	8(3)
ページ	329-332
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution-NonCommercial 3.0 United States
PISSN	1976-2283
関連情報	PMID 24827632
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.5009/gnl.2014.8.3.329