Abstract | BACKGROUND: OBJECTIVE: To evaluate the clinical efficacy and safety of biliary drainage (BD) by using transnasal videoendoscopy (TNE) without conscious sedation. DESIGN: Case series. SETTING: This procedure was performed at Tokyo Medical University Hospital. PATIENTS: INTERVENTION: All patients underwent BD by using a front-viewing TNE. Two 5F stents were placed into the bile duct across the major papilla. MAIN OUTCOME MEASUREMENT: The efficacy and safety of the TNE technique. RESULTS: Transnasal insertion of a TNE endoscope was feasible in all patients, without epistaxis. TNE BD was achieved in all patients. Abdominal pain, fever, and jaundice improved 24 hours after the procedure in all patients. Despite the absence of intravenous conscious sedation, all patients would agree to undergo the procedure again, if necessary. LIMITATIONS: Maneuverability of the TNE endoscope; limited to patients with a previous ES. CONCLUSIONS: In this small series, unsedated TNE can be used to successfully drain the biliary system in patients with a previous ES. Additional studies to validate this hypothesis are needed.
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Authors | Takao Itoi, Takashi Kawai, Fumihide Itokawa, Atushi Sofuni, Toshio Kurihara, Takayoshi Tsuchiya, Kentaro Ishii, Shujiro Tsuji, Nobuhito Ikeuchi, Mami Takeuchi, Yoshihiro Sakai, Fuminori Moriyasu |
Journal | Gastrointestinal endoscopy
(Gastrointest Endosc)
Vol. 67
Issue 2
Pg. 328-32
(Feb 2008)
ISSN: 0016-5107 [Print] United States |
PMID | 18226697
(Publication Type: Case Reports, Journal Article)
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Topics |
- Acute Disease
- Aged
- Cholangitis
(etiology, surgery)
- Conscious Sedation
- Drainage
(methods)
- Endoscopy, Gastrointestinal
- Gallstones
(complications)
- Humans
- Male
- Stents
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