{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T10:17:53Z","timestamp":1782209873365,"version":"3.54.5"},"reference-count":29,"publisher":"The Korean Society of Gastrointestinal Endoscopy","issue":"2","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["e-ce.org"],"crossmark-restriction":true},"short-container-title":["Clin Endosc"],"published-print":{"date-parts":[[2024,3,30]]},"abstract":"<jats:p>Background\/Aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) is useful for patients with biliary cannulation failure or inaccessible papillae. However, it can lead to serious complications such as bile peritonitis in patients with ascites; therefore, development of a safe method to perform EUS-HGS is important. Herein, we evaluated the safety of EUS-HGS with continuous ascitic fluid drainage in patients with ascites.Methods: Patients with moderate or severe ascites who underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after the procedure at our institution between April 2015 and December 2022, were included in the study. We evaluated the technical and clinical success rates, EUS-HGS-related complications, and feasibility of re-intervention.Results: Ten patients underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after completion of the procedure. Median duration of ascites drainage before and after EUS-HGS was 2 and 4 days, respectively. Technical success with EUS-HGS was achieved in all 10 patients (100%). Clinical success with EUS-HGS was achieved in 9 of the 10 patients (90 %). No endoscopic complications such as bile peritonitis were observed.Conclusions: In patients with ascites, continuous ascites drainage, which is initiated before EUS-HGS and terminated after completion of the procedure, may prevent complications and allow safe performance of EUS-HGS.<\/jats:p>","DOI":"10.5946\/ce.2023.075","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:01:51Z","timestamp":1694044911000},"page":"246-252","update-policy":"https:\/\/doi.org\/10.5946\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Safety of endoscopic ultrasound-guided hepaticogastrostomy in patients with malignant biliary obstruction and ascites"],"prefix":"10.5946","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3878-6814","authenticated-orcid":true,"given":"Tsukasa","family":"Yasuda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4699-6136","authenticated-orcid":true,"given":"Kazuo","family":"Hara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9704-1885","authenticated-orcid":true,"given":"Nobumasa","family":"Mizuno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7578-5610","authenticated-orcid":true,"given":"Shin","family":"Haba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8348-8926","authenticated-orcid":true,"given":"Takamichi","family":"Kuwahara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6376-687X","authenticated-orcid":true,"given":"Nozomi","family":"Okuno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-5714","authenticated-orcid":true,"given":"Yasuhiro","family":"Kuraishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0621-3982","authenticated-orcid":true,"given":"Takafumi","family":"Yanaidani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0677-7641","authenticated-orcid":true,"given":"Sho","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7101-8249","authenticated-orcid":true,"given":"Masanori","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8557-6428","authenticated-orcid":true,"given":"Toshitaka","family":"Fukui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3961","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-4913-y"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2015.12.032"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2016.12.023"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2018.188"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-17324"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.27"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2018.03.012"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0122-8"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2018.03.015"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.631"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-014-3062-1"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-110790"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2018.094"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/den.13371"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1391988"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.4103\/eus.eus_51_19"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1243911"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1344064"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-020-01043-x"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-017-1198-7"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.027"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1214712"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2021.103"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v22.i15.3945"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1177\/1756283x17702096"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2022.05.008"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.18528\/gii180006"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13021"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1392314"}],"container-title":["Clinical 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