{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:48:20Z","timestamp":1792622900655,"version":"4.5.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":18,"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":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background and study aims Percutaneous transhepatic biliary drainage (PTBD) is the traditional second-line option after unsuccessful endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HG) is a viable alternative to PTBD. Our study aimed to compare outcomes of EUS-HG and PTBD for benign and malignant biliary diseases following failed ERCP.<\/jats:p><jats:p>\n            Patients and methods This single-center study retrospectively analyzed patients undergoing EUS-HG and PTBD for benign and malignant biliary disorders. A propensity score-matched analysis was performed using age, sex, and Charlson Comorbidity Index. The primary outcome was clinical success, which we defined as a decrease in total bilirubin by \u2265 50% at 2 weeks for malignant disease and resolution of the biliary disorder for benign disease.<\/jats:p><jats:p>\n            Results In total, 41 patients underwent EUS-HG and 138 patients\n      underwent PTBD. After propensity score matching in a 1:2 ratio, 32 EUS-HG patients were\n      matched with 64 PTBD. Technical success was achieved in 29 of 32 (91%) for EUS-HG and 63 of 64\n      (98%) for PTBD (P=0.11). Clinical success was 100% for EUS-HG and\n      75% for PTBD (P=0.0021). EUS-HG was associated with a lower adverse\n      event rate (EUS-HG 13% vs. PTBD 58%, P &lt;0.0001), shorter\n      procedure duration (median 60 vs. 115 minutes, P &lt;0.0001),\n      shorter post-procedure length of stay (median 2 vs. 4 days, P\n      &lt;0.0001), and fewer reinterventions (median 1 vs. 3, P\n      &lt;0.0001).<\/jats:p><jats:p>\n            Conclusions Our results suggest that EUS-HG is superior to PTBD in the treatment of benign and malignant biliary disorders after failed ERCP.<\/jats:p>","DOI":"10.1055\/a-2220-2740","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T00:04:33Z","timestamp":1705709073000},"page":"E108-E115","source":"Crossref","is-referenced-by-count":11,"title":["EUS-guided hepaticogastrostomy versus percutaneous transhepatic biliary drainage after failed ERCP: A propensity score-matched analysis"],"prefix":"10.1055","volume":"12","author":[{"given":"Nicholas J","family":"Koutlas","sequence":"additional","affiliation":[{"name":"Gastroenterology, Wake Forest School of Medicine, Winston-Salem, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Pawa","sequence":"additional","affiliation":[{"name":"Gastroenterology, Wake Forest School of Medicine, Winston-Salem, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Russell","sequence":"additional","affiliation":[{"name":"Biostatistics, Wake Forest School of Medicine, Winston-Salem, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Ferris","sequence":"additional","affiliation":[{"name":"Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janardhana","family":"Ponnatapura","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Wake Forest School of Medicine, Winston-Salem, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6452-2359","authenticated-orcid":false,"given":"Rishi","family":"Pawa","sequence":"additional","affiliation":[{"name":"Gastroenterology, Wake Forest School of Medicine, Winston-Salem, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"S35","DOI":"10.4103\/eus.eus_47_19","article-title":"EUS-guided hepaticogastrostomy","volume":"8","author":"M Giovannini","year":"2019","journal-title":"Endosc Ultrasound"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1148\/radiology.135.1.7360943","article-title":"Percutaneous transhepatic biliary drainage: technique, results, and applications","volume":"135","author":"JT Ferrucci","year":"1980","journal-title":"Radiology"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/0016-5085(78)90295-0","article-title":"Percutaneous transhepatic drainage of the biliary tract: technique and results in 104 cases","volume":"74","author":"T Nakayama","year":"1978","journal-title":"Gastroenterology"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1111\/den.14163","article-title":"Pancreato-biliary endoscopy: History of endoscopic biliary drainage","volume":"34","author":"H Isayama","year":"2022","journal-title":"Digest Endosc"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1016\/j.gie.2018.04.2353","article-title":"EUS-guided hepaticoenterostomy as a portal to allow definitive antegrade treatment of benign biliary diseases in patients with surgically altered anatomy","volume":"88","author":"TW James","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1055\/s-2001-17324","article-title":"Endoscopic ultrasound-guided bilioduodenal anastomosis: a new technique for biliary drainage","volume":"33","author":"M Giovannini","year":"2001","journal-title":"Endoscopy"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s10620-014-3300-6","article-title":"A comparative evaluation of EUS-guided biliary drainage and percutaneous drainage in patients with distal malignant biliary obstruction and failed ERCP","volume":"60","author":"MA Khashab","year":"2015","journal-title":"Dig Dis Sci"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1177\/2050640613490928","article-title":"Comparison of endosonography-guided vs. percutaneous biliary stenting when papilla is inaccessible for ERCP","volume":"1","author":"A Bapaye","year":"2013","journal-title":"United Europ Gastroenterol J"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"5500","DOI":"10.1007\/s00464-016-4913-y","article-title":"Endoscopic ultrasound-guided biliary drainage versus percutaneous transhepatic biliary drainage: predictors of successful outcome in patients who fail endoscopic retrograde cholangiopancreatography","volume":"30","author":"RZ Sharaiha","year":"2016","journal-title":"Surg Endosc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"844083","DOI":"10.3389\/fonc.2022.844083","article-title":"Endoscopic ultrasound-guided versus percutaneous transhepatic biliary drainage in patients with malignant biliary obstruction: Which is the optimal cost-saving strategy after failed ERCP?","volume":"12","author":"WJ Yoon","year":"2022","journal-title":"Front Oncol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1067\/mge.2003.85","article-title":"EUS-cholangio-drainage of the bile duct: report of 4 cases","volume":"57","author":"E Burmester","year":"2003","journal-title":"Gastrointest Endosc"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"S44","DOI":"10.4103\/eus.eus_51_19","article-title":"Outcomes and limitations: EUS-guided hepaticogastrostomy","volume":"8","author":"WH Paik","year":"2019","journal-title":"Endosc Ultrasound"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"369","DOI":"10.4103\/eus.eus_59_20","article-title":"Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm","volume":"9","author":"S Khoo","year":"2020","journal-title":"Endosc Ultrasound"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1177\/1756283X17702096","article-title":"Endoscopic ultrasound-guided hepaticogastrostomy versus percutaneous transhepatic drainage for malignant biliary obstruction after failed endoscopic retrograde cholangiopancreatography: a retrospective expertise-based study from two centers","volume":"10","author":"A Sportes","year":"2017","journal-title":"Therap Adv Gastroenterol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"495","DOI":"10.4103\/EUS-D-21-00108","article-title":"EUS-guided hepaticogastrostomy in patients with obstructive jaundice after failed or impossible endoscopic retrograde drainage: A multicenter, randomized phase II Study","volume":"11","author":"M Marx","year":"2022","journal-title":"Endosc Ultrasound"},{"key":"ref16","doi-asserted-by":"publisher","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":"PB Cotton","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.dld.2018.09.015","article-title":"EUS-guided versus percutaneous biliary access in patients with obstructive jaundice due to gastric cancer","volume":"51","author":"T Ogura","year":"2019","journal-title":"Digest Liver Dis"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/j.gie.2021.10.013","article-title":"EUS-guided transhepatic biliary drainage: a large single-center U.S. experience","volume":"95","author":"KE Hathorn","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"196","DOI":"10.5009\/gnl20096","article-title":"Endoscopic ultrasound-guided hepaticogastrostomy: technical review and tips to prevent adverse events","volume":"15","author":"T Ogura","year":"2021","journal-title":"Gut Liver"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1038\/s41395-018-0122-8","article-title":"EUS-guided biliary drainage versus ERCP for the primary palliation of malignant biliary obstruction: a multicenter randomized clinical trial","volume":"113","author":"WH Paik","year":"2018","journal-title":"Am J Gastroenterol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1016\/j.gie.2011.04.046","article-title":"Duodenal invasion is a risk factor for the early dysfunction of biliary metal stents in unresectable pancreatic cancer","volume":"74","author":"T Hamada","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"ref22","first-page":"156","article-title":"Comparison of the clinical impact of endoscopic ultrasound-guided choledochoduodenostomy and hepaticogastrostomy for bile duct obstruction with duodenal obstruction","volume":"48","author":"T Ogura","year":"2016","journal-title":"Endoscopy"},{"key":"ref23","first-page":"e23209","article-title":"Preoperative endoscopic ultrasound-guided hepaticogastrostomy facilitates decompression and diagnosis in patients with suspected malignant biliary obstruction: a case series","volume":"14","author":"NJ Koutlas","year":"2022","journal-title":"Cureus"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.vgie.2017.03.002","article-title":"Preoperative decompression and diagnosis of pancreatic head adenocarcinoma in a patient with Roux-en-Y gastric bypass by means of EUS-guided gastric pouch hepaticogastrostomy","volume":"2","author":"MM Abdelfatah","year":"2017","journal-title":"VideoGIE"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"E127","DOI":"10.1055\/s-0043-123188","article-title":"Endoscopic ultrasound-guided hepaticogastrostomy and antegrade clearance of biliary lithiasis in patients with surgically-altered anatomy","volume":"6","author":"A Hosmer","year":"2018","journal-title":"Endosc Int Open"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"E11","DOI":"10.1002\/jhbp.676","article-title":"Intrahepatic biliary stones extraction via an EUS-guided hepaticogastrostomy route confirmed by peroral transluminal video cholangioscopy (with video)","volume":"27","author":"H Kawakami","year":"2020","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.vgie.2019.04.017","article-title":"Electrohydraulic lithotripsy through a fistula of EUS-guided hepaticogastrostomy: a new approach for right intrahepatic stones","volume":"4","author":"T Sato","year":"2019","journal-title":"VideoGIE"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2220-2740.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:35:57Z","timestamp":1730802957000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2220-2740"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":27,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,1,5]]},"published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2220-2740","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}