eus引导下的胃肠造口术:一种改良的经肝空肠直接输水入路(有视频)。

IF 4.4 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Endoscopic Ultrasound Pub Date : 2023-01-01 DOI:10.4103/EUS-D-21-00099

Joyce Zaftis, Ali Bessissow, Corey Miller, David Valenti, Yen-I Chen

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EUS-guided gastroenterostomy: A modified direct water infusion approach using a transhepatic jejunal access (with video).

The direct EUS-guided gastroenterostomy (EUS-GE) technique described for the management of malignant gastric outlet obstruction (GOO) entails injection of fluid/contrast across the obstruction using an endoscope to expand the jejunum and allow for EUS-guided cautery-assisted lumen-apposing metal stent (LAMS) insertion. [1-3] Adequate infusion of the fluid across a high-grade obstruction, however, can be challenging, especially if a guidewire cannot be navigated across. Here, we demonstrate a modified direct EUS‑GE technique using a fluoroscopic‑guided transhepatic approach to infuse fluid in the proximal jejunum and assist the “direct” method in a high-grade stricture that did not allow for adequate fluid infusion via the endoscope [Video 1].

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来源期刊

Endoscopic Ultrasound GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.20

自引率

11.10%

发文量

144

期刊介绍： Endoscopic Ultrasound, a publication of Euro-EUS Scientific Committee, Asia-Pacific EUS Task Force and Latin American Chapter of EUS, is a peer-reviewed online journal with Quarterly print on demand compilation of issues published. The journal’s full text is available online at http://www.eusjournal.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal does not charge for submission, processing or publication of manuscripts and even for color reproduction of photographs.