Transnasal endoscopic biliary drainage as a rescue management for the treatment of acute cholangitis

Endoscopic biliary drainage has been established to provide effective treatment for acute obstructive jaundice and cholangitis. A recently developed ultrathin transnasal videoendoscope (TNE) is minimally invasive even for critically ill patients and can be performed without conscious sedation. Trans...

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Bibliographic Details
Published in:World journal of gastrointestinal endoscopy 2010-02, Vol.2 (2), p.50-53
Main Authors: Itoi, Takao, Sofuni, Atushi, Itokawa, Fumihide, Tsuchiya, Takayoshi, Kurihara, Toshio, Ishii, Kentaro, Tsuji, Shujiro, Ikeuchi, Nobuhito, Moriyasu, Fuminori
Format: Article
Language:English
Subjects:
Biliary
drainage
endoscope
Guidelines For Clinical Practice
Transnasal
Ultrathin
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Summary:Endoscopic biliary drainage has been established to provide effective treatment for acute obstructive jaundice and cholangitis. A recently developed ultrathin transnasal videoendoscope (TNE) is minimally invasive even for critically ill patients and can be performed without conscious sedation. Transnasal endoscopic biliary drainage (TNE-BD) is performed using a frontviewing TNE with approximately 5 mm outer diameter and 2 mm working channel diameter. Finally, 5F nasobiliary tube or plastic stent are placed. Technical success rates are approximately 100% and 70% for postendoscopic sphincterotomy or placement of self-expandable metallic stent, and intact papilla, respectively. There are no serious complications. In conclusion, although further cases should be accumulated, TNEBD and in particular, one-step naso-biliary drainage using TNE may be a useful and novel technique for the treatment of acute cholangitis.
ISSN:1948-5190
1948-5190
DOI:10.4253/wjge.v2.i2.50