Endoscopy June 2019 PMID 30347424

Endoscopic ultrasound-guided choledochoduodenostomy with electrocautery-enhanced lumen-apposing stents: a retrospective analysis.

Jeremie Jacques, Jocelyn Privat, Fabien Pinard, Fabien Fumex, Jean-Christophe Valats, Azzedine Chaoui, Franck Cholet, Bruno Godard, Philippe Grandval, Romain Legros, Sebastien Kerever, Bertrand Napoleon

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Mentions

Peak: 1 in May 2019

across 3 sources since May 2019

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12,226

potential audience

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651

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May 2019 – Jun 2019

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AI synopsis

What people are saying

The discussions praise the technical success and safety of the procedure, with examples like mentions of high success rates (88.5% technical success) and low complication rates, showing keenness to understand the method. The tone reveals genuine interest in how these findings could change therapeutic approaches, using words like 'game changer' and emphasizing the potential for improved patient outcomes.

AgreementModerate agreement

Most discussions recognize the study as a valuable contribution, highlighting its high success rates and safety profile, indicating general agreement with the findings.

InterestHigh interest

The topic of advanced endoscopic procedures naturally attracts strong interest from medical professionals and students interested in gastroenterology and minimally invasive techniques.

EngagementModerate engagement

Comments often reference specific procedures, technical details, and procedural outcomes, reflecting active engagement with the article's content.

ImpactModerate impact

Several posts mention how this research could influence clinical practice, suggesting it may shape future treatment protocols for malignant bile duct obstructions.

Abstract in brief

This study analyzes the use of endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) using electrocautery-enhanced lumen-apposing metal stents (ECELAMS) in France from 2016-2017, focusing on patients with malignant bile duct obstructions, mainly due to pancreatic cancer.
The procedure showed high success rates, with an 88.5% technical success and 100% clinical success, and had a low complication rate, indicating it is a safe and effective alternative when traditional ERCP fails.
Factors like a smaller bile duct diameter and not following the proper procedure technique increased the risk of failure, and the median survival after the procedure was about 135 days without biliary complications.

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All mentions

Endoscopic Ultrasound-Guided Choledochoduodenostomy with Electrocautery Stents

This study analyzes the use of endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) with electrocautery-enhanced lumen-apposing metal stents (ECELAMS) in France from 2016-2017, mainly for malignant bile duct…

endoscopythieme · May 28, 2019 651 views

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