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Role of Endoscopic Therapy in Pancreaticobiliary Maljunction and Congenital Biliary Dilatation

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Pancreaticobiliary Maljunction and Congenital Biliary Dilatation
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Abstract

Recently, interventional endoscopy has been increasingly used to treat pancreaticobiliary diseases in pancreaticobiliary maljunction (PBM)/congenital biliary dilatation (CBD) patients. However, there has been no detailed description of endotherapy for PBM/CBD thus far. Herein, we describe the role of endoscopic therapy on the biliary drainage including bile duct drainage and gallbladder drainage, stones and/or protein plugs removal, peripancreatic fluid collections, and choledochocele in PBM/CBD. In conclusion, although the fundamental therapy in PBM/CBD patients is surgical intervention, endotherapy appears to be useful for the treatment of PBM/CBD-induced complications.

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References

  1. Kamisawa T, Kaneko K, Itoi T, Ando H. Pancreaticobiliary maljunction and congenital biliary dilatation. Lancet Gastroenterol Hepatol. 2017;2(8):610.

    Article  PubMed  Google Scholar 

  2. Mukai S, Itoi T. How should we use endoscopic ultrasonography-guided biliary drainage techniques separately? Endosc Ultrasound. 2016;5:65–8.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Miura F, Okamoto K, Takada T, et al. Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci. 2018;25:31–40. https://doi.org/10.1002/jhbp.509.

    Article  PubMed  Google Scholar 

  4. Mori Y, Itoi T, Baron TH, et al. TG18 management strategies for gallbladder drainage in patients with acute cholecystitis: updated Tokyo Guidelines 2018 (with videos). J Hepatobiliary Pancreat Sci. 2018;25:87–95.

    Article  PubMed  Google Scholar 

  5. Itoi T, Takada T, Hwang TL, et al. Percutaneous and endoscopic gallbladder drainage for the acute cholecystitis: international multicenter comparative study by a propensity score-matched analysis. J Hepatobiliary Pancreat Sci. 2017;24(6):362.

    Article  PubMed  Google Scholar 

  6. Itoi T, Kawakami H, Katanuma A, et al. Endoscopic nasogallbladder tube or stent placement in acute cholecystitis: a preliminary prospective randomized trial in Japan. Gastrointest Endosc. 2015;81:111–8.

    Article  PubMed  Google Scholar 

  7. Itoi T, Coelho-Prabhu N, Baron TH. Endoscopic gallbladder drainage for management of acute cholecystitis. Gastrointest Endosc. 2010;71:1038–45.

    Article  PubMed  Google Scholar 

  8. Itoi T, Binmoeller KF, Shah J, et al. Clinical evaluation of a novel lumen-apposing metal stent for endosonography-guided pancreatic pseudocyst and gallbladder drainage (with video). Gastrointest Endosc. 2012;75:870–6.

    Article  PubMed  Google Scholar 

  9. Walter D, Teoh AY, Itoi T, et al. EUS-guided gallbladder drainage with a lumen apposing metal stent; a prospective long-term evaluation. Gut. 2016;65:6–8.

    Article  CAS  PubMed  Google Scholar 

  10. Morine Y, Shimada M, Takamatsu H, et al. Clinical features of pancreaticobiliary maljunction: update analysis of 2nd Japan-nationwide survey. J Hepatobiliary Pancreat Sci. 2013;20:472–80.

    Article  PubMed  Google Scholar 

  11. Mukai S, Itoi T, Kamada K, Tanaka R, Ishii K. Successful extraction of a carelessly impacted bile duct stone using sphincterotome. Gastrointest Endosc. 2015;8:1486–7.

    Article  Google Scholar 

  12. Vosoghi M, Sial S, Garrett B, et al. EUS-guided pancreatic pseudocyst drainage: review and experience at Harbor-UCLA Medical Center. MedGenMed. 2002;4:2.

    PubMed  Google Scholar 

  13. Todani T, Watanabe Y, Narusue M, et al. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263–9.

    Article  PubMed  CAS  Google Scholar 

  14. Yamaguchi M. Congenital choledochal cyst. Analysis of 1,433 patients in the Japanese literature. Am J Surg. 1980;140:653–7.

    Article  CAS  PubMed  Google Scholar 

  15. Tomoda T, Kato H, Tsutsumi K, et al. Tubular adenoma arising in a choledochocele. Gastrointest Endosc. 2016;84:1066–7.

    Article  PubMed  Google Scholar 

  16. Itoi T, Gotoda T, Yasuda I, et al. Balloon-catheter-assisted complete endoscopic snare resection for choledochocele by using double-channel duodenoscope (with videos). Gastrointest Endosc. 2007;66:622–5.

    Article  PubMed  Google Scholar 

  17. Law R, Topazian M. Diagnosis and treatment of choledochoceles. Clin Gastroenterol Hepatol. 2014;12:196–203.

    Article  PubMed  Google Scholar 

  18. Min Lee JM, Lee HS, Kim CD. Infundibulotomy and endoscopic retrograde cholangiopancreatography in situs inversus totalis combined with choledochocele. Dig Endosc. 2015;27:777.

    Article  Google Scholar 

  19. Mangiavillano B, Parodi A, Conio M. Endoscopic ultrasound-guided ERCP in the treatment of a Todani type-III cyst causing acute necrotizing pancreatitis. Endoscopy. 2016;48:E44.

    Article  PubMed  Google Scholar 

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Acknowledgment

We thank Dr. Edward Barroga (http://orcid.org/0000-0002-8920-2607) for reviewing and editing the manuscript.

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Itoi, T. (2018). Role of Endoscopic Therapy in Pancreaticobiliary Maljunction and Congenital Biliary Dilatation. In: Kamisawa, T., Ando, H. (eds) Pancreaticobiliary Maljunction and Congenital Biliary Dilatation. Springer, Singapore. https://doi.org/10.1007/978-981-10-8654-0_28

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  • DOI: https://doi.org/10.1007/978-981-10-8654-0_28

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-8653-3

  • Online ISBN: 978-981-10-8654-0

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