| Theme | Stenting for Digestive Diseases | |
|---|---|---|
| Title | Therapeutic Interventional Endoscopic Ultrasound with Stent | |
| Publish Date | 2019/09 | |
| Author | Mitsuhiro Kida | Department of Gastroenterology, Kitasato University Hospital |
| Author | Masafumi Watanabe | Department of Gastroenterology, Kitasato University Hospital |
| Author | Takahiro Kurosu | Department of Gastroenterology, Kitasato University Hospital |
| Author | Kazuho Uehara | Department of Gastroenterology, Kitasato University Hospital |
| Author | Yusuke Kawaguchi | Department of Gastroenterology, Kitasato University Hospital |
| Author | Rikiya Hasegawa | Department of Gastroenterology, Kitasato University Hospital |
| Author | Eiji Miyata | Department of Gastroenterology, Kitasato University Hospital |
| Author | Tooru Kaneko | Department of Gastroenterology, Kitasato University Hospital |
| Author | Hiroshi Yamauchi | Department of Gastroenterology, Kitasato University Hospital |
| Author | Kosuke Okuwaki | Department of Gastroenterology, Kitasato University Hospital |
| Author | Tomohisa Iwai | Department of Gastroenterology, Kitasato University Hospital |
| Author | Hiroshi Imaizumi | Department of Gastroenterology, Kitasato University Hospital |
| [ Summary ] | In 1992, Grimm reported the first case of endoscopic ultrasound (EUS)‒guided pseudocyst drainage. Recently EUS‒guided drainage has become the first‒line therapeutic intervention for walled‒off necrosis/pseudocysts. EUS‒guided biliary drainage (BD), EUS‒guided gallbladder drainage (GBD), and EUS‒guided pancreatic drainage (PD) serve as interventions with clinically proven efficacy similar to that of percutaneous transhepatic biliary drainage (PTBD) and percutaneous transhepatic gallbladder drainage (PTGBD); however, the rate of adverse events (0‒25 %) associated with these procedures remains relatively high. Initially, plastic stents were used for therapeutic interventional EUS, which are now replaced by metallic stents, specifically lumen-apposing metal stents (LAMS) with a high efficacy and safety profile. Furthermore, endoscopic gastrojejunostomy is performed concomitantly with LAMS. It is expected that therapeutic interventional EUS will be widely used in the future. | |