{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T10:32:46Z","timestamp":1779273166317,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Endoscopic ultrasound (EUS)\u2010guided biliary drainage is being increasingly performed as an alternative to percutaneous transhepatic biliary drainage (PTBD) to treat malignant hilar obstruction (MHO) after failed endoscopic retrograde cholangiopancreatography (ERCP). However, no study has compared EUS\u2010guided hepaticoduodenostomy (EUS\u2010HDS) with PTBD for right intrahepatic duct (IHD) obstruction after failed ERCP in patients with unresectable MHO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the data of consecutive patients with right IHD obstruction developed by unresectable MHO who underwent EUS\u2010HDS or PTBD after a previous placement of a stent in the left and\/or right IHD between March 2018 and October 2021. Technical success, clinical success, stent or tube\u2010related adverse events, frequency of reintervention, and stent patency were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 42 patients (18 EUS\u2010HDS, 24 PTBD) were analyzed. Both groups did not show significant differences in technical success (EUS\u2010HDS, 94% <jats:italic>vs<\/jats:italic> PTBD, 100%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.429), clinical success (83% <jats:italic>vs<\/jats:italic> 83%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.999), early adverse events (24% <jats:italic>vs<\/jats:italic> 46%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.144), and stent or tube\u2010related late adverse events (29% <jats:italic>vs<\/jats:italic> 54%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.116). During follow\u2010up, the EUS\u2010HDS group had a longer median duration of patency (131\u00a0days <jats:italic>vs<\/jats:italic> 58.5\u00a0days; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.041), and lower mean frequency of reinterventions per patient (0.35 <jats:italic>vs<\/jats:italic> 1.92; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.030) than the PTBD group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>EUS\u2010HDS showed comparable efficacy and safety to PTBD for drainage of the right biliary system and produced longer duration of patency and lower frequency of reinterventions in patients with unresectable MHO.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.16442","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T07:24:00Z","timestamp":1702970640000},"page":"552-559","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Endoscopic ultrasound\u2010guided hepaticoduodenostomy versus percutaneous drainage for right intrahepatic duct dilatation in malignant hilar obstruction"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8664-4090","authenticated-orcid":false,"given":"Sung Hyun","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine  Asan Medical Center Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Jun","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine  Asan Medical Center Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6084-0138","authenticated-orcid":false,"given":"Dongwook","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine  Asan Medical Center Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Do Hyun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine  Asan Medical Center Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong\u2010Wan","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine  Asan Medical Center Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Koo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine  Asan Medical Center Seoul South 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