{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:38:42Z","timestamp":1761514722951},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:00:00Z","timestamp":1613692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS) may be most complex because of the EUS-guided biliary drainage procedure and variations in the course of the intrahepatic bile duct compared with the common bile duct (CBD). Appropriate guidewire insertion is essential. Physician-controlled guidewire manipulation (PCGW) might improve technical success rates of bile duct cannulation. The present study aimed to determine the technical feasibility and safety of PCGW during EUS-HGS.<\/jats:p><jats:p>\n          Patients and methods\u2002A total of 122 consecutive patients who were scheduled to undergo EUS-HGS between October 2017 and April 2019 were prospectively registered. The primary endpoint was the technical success rate of guidewire insertion into the CBD or hepatic hilum. Guidewire insertion was considered to have failed if the HGS assistant failed to achieve manipulation. <\/jats:p><jats:p>\n          Results\u2002The intrahepatic bile duct was successfully punctured in 120 of 122 patients. During guidewire insertion by the HGS assistant, guidewire fracture was observed in one patient. The guidewire was successfully inserted into the biliary tract and manipulated by the HGS assistant in 96 patients. PCGW was thus attempted for the remaining 23 patients. The guidewire was inserted by PCGW in all 23 patients, improving the technical success rate for guidewire insertion from 80\u200a% to 100\u200a%. After tract dilation, we deployed covered metal stents and plastic stents in 117 and two patients, respectively. The overall technical success rate for EUS-HGS was 97.5\u200a% (119\/122). Adverse events comprising bile peritonitis or leakage developed in five patients.<\/jats:p><jats:p>\n          Conclusion\u2002PCGW might contribute to improving the success rate of EUS-HGS.<\/jats:p>","DOI":"10.1055\/a-1336-3132","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T14:07:43Z","timestamp":1613830063000},"page":"E395-E400","source":"Crossref","is-referenced-by-count":7,"title":["Clinical evaluation of physician-controlled guidewire manipulation during endoscopic ultrasound-guided hepaticogastrostomy (with video)"],"prefix":"10.1055","volume":"09","author":[{"given":"Kyohei","family":"Nishiguchi","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Ogura","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobu","family":"Nishioka","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saori","family":"Ueno","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Okuda","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadahiro","family":"Yamada","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Yamada","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Ueshima","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhide","family":"Higuchi","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1055\/s-2003-37011","article-title":"Therapeutic biliary endoscopy","volume":"35","author":"E L Fogel","year":"2003","journal-title":"Endoscopy"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.giec.2008.05.009","article-title":"Endoscopic management of biliary 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Dhir","year":"2017","journal-title":"Dig Endosc"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"376","DOI":"10.4103\/eus.eus_2_18","article-title":"Safety and efficacy of ultra-tapered mechanical dilator for EUS-guided hepaticogastrostomy and pancreatic duct drainage compared with electrocautery dilator (with video)","volume":"7","author":"M Honjo","year":"2018","journal-title":"Endosc Ultrasound"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"E3","DOI":"10.1002\/jhbp.609","article-title":"Novel fine gauge electrocautery dilator for endoscopic ultrasound-guided hepaticogastrostomy (with video)","volume":"26","author":"T Ogura","year":"2019","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1111\/jgh.13489","article-title":"Prospective clinical study of endoscopic ultrasound-guided biliary drainage using novel balloon catheter (with video)","volume":"32","author":"M Amano","year":"2017","journal-title":"J Gastroenterol Hepatol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"E583","DOI":"10.1055\/s-0034-1393381","article-title":"Liver impaction technique to prevent shearing of the guidewire during endoscopic ultrasound-guided hepaticogastrostomy","volume":"47","author":"T Ogura","year":"2015","journal-title":"Endoscopy"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.gie.2009.08.028","article-title":"Difficult biliary cannulation: use of physician-controlled wire-guided cannulation over a pancreatic duct stent to reduce the rate of precut sphincterotomy (with video)","volume":"71","author":"G A Cot\u00e9","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1007\/s11605-018-3758-1","article-title":"Clinical impact of the intra-scope channel stent release technique in preventing stent migration during EUS-guided hepaticogastrostomy","volume":"22","author":"A Miyano","year":"2018","journal-title":"J Gastrointest Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.gie.2009.10.027","article-title":"A lexicon for endoscopic adverse events: report of an ASGE workshop","volume":"71","author":"P B Cotton","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1177\/1756283X16671671","article-title":"Optimal biliary access point and learning curve for endoscopic ultrasound-guided hepaticogastrostomy with transluminal stenting","volume":"10","author":"D Oh","year":"2017","journal-title":"Therap Adv Gastroenterol"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/j.gie.2012.08.001","article-title":"Initial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage: a Spanish national survey","volume":"76","author":"J J Vila","year":"2012","journal-title":"Gastrointest ENdosc"}],"container-title":["Endoscopy International 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