Author(s)

Ping Huang¹, Hao Zhang², Xiaofeng Zhang^1*, Wen Lv¹, Zheng Fan¹

¹Department of Gastroenterology, Zhejiang University School of Medicine, Affiliated Hang Zhou First People’s Hospital, Hangzhou, China.
²Department of Gastroenterology, Xixi Hospital of Hangzhou, Hangzhou, China.

Objective: To study the therapeutic effect of Endoscopic ultrasound-guided biliary drainage (EUS-BD) with a nitinol fully covered self-expandable metal stent in patients with malignant obstructive jaundice when endoscopic retrograde cholangiopancreatography (ERCP) fails. Methods: From January 2016 January 2018, all patients with malignant obstructive jaundice during hospitalization underwent EUS-guided biliary drainage with a nitinol fully covered self-expandable metal stent, and the operation success rate, the clinical success rate, complications, length of hospital stay and survival time were observed. Results: Of 36 patients, 34 cases had successful operation; the operation success rate was 94.44% (34/36). The clinical success rate was 88.89% (32/36). Hemobilia occurred in 1, acute cholangitis in 1, and bile peritonitis in 1; improved after conservative treatment, the complication rate is 8.33% (3/36). Hospital stay and survival time was 21.54 ± 4.73 days and 220.54 ± 54.76 days, respectively. Conclusion: EUS-BD with a nitinol fully covered self-expandable metal stent may be a feasible and effective treatment option in patients with malignant biliary obstruction when ERCP fails.

Malignant Obstructive Jaundice, EUS-Guided Biliary Drainage, Metal Stent

Huang, P. , Zhang, H. , Zhang, X. , Lv, W. and Fan, Z. (2019) Endoscopic Ultrasound-Guided Biliary Drainage with a Fully Covered Self-Expandable Metal Stent for Malignant Obstructive Jaundice. Surgical Science, 10, 1-10. doi: 10.4236/ss.2019.101001.