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Article

Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners

  • Authors:
    • Mitsuru Sugimoto
    • Tadayuki Takagi
    • Rei Suzuki
    • Hiroyuki Asama
    • Hiroshi Shimizu
    • Kentaro Sato
    • Rei Ohira
    • Jun Nakamura
    • Mika Takasumi
    • Tsunetaka Kato
    • Takumi Yanagita
    • Mitsuru Otsuka
    • Takuto Hikichi
    • Hiromasa Ohira
  • View Affiliations / Copyright

    Affiliations: Department of Gastroenterology, School of Medicine, Fukushima Medical University, Fukushima, Fukushima 960‑1295, Japan, Department of Endoscopy, Fukushima Medical University Hospital, Fukushima, Fukushima 960‑1295, Japan
  • Article Number: 53
    |
    Published online on: January 20, 2025
       https://doi.org/10.3892/etm.2025.12803
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Abstract

Endoscopic ultrasound‑guided biliary drainage (EUS‑BD) is performed as a second drainage method when endoscopic retrograde cholangiopancreatography‑guided biliary drainage fails. There are several severe adverse events in EUS‑BD, and avoiding technical failure is desirable. Although EUS‑BD is a skilled endoscopic treatment, the appropriate conditions for EUS‑BD beginners are not well known. The present study aimed to clarify the appropriate cases for EUS‑BD beginners. The present retrospective cohort study included patients with malignant biliary obstruction who underwent EUS‑BD, which was performed by beginners between March 2005 and June 2024. Factors associated with successful EUS‑BD performed by beginners were evaluated by multivariate logistic regression analysis. The performance of each factor was evaluated via a receiver operating characteristic (ROC) curve. According to multivariate analysis, the diameter of the punctured bile duct was associated with successful EUS‑BD performed by beginners (odds ratio, 1.34; 95% CI, 1.03‑1.75; P=0.031). The area under the ROC curve for the diameter of the punctured bile duct was 0.79, and the cutoff value was 6.7 mm (71% sensitivity and 81.8% specificity). The diameter of the punctured bile duct might be associated with successful EUS‑BD procedures performed by beginners. When a beginner performs EUS‑BD, a diameter of the targeted bile duct >6.7 mm might be desirable for successful procedures.
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Copy and paste a formatted citation
Spandidos Publications style
Sugimoto M, Takagi T, Suzuki R, Asama H, Shimizu H, Sato K, Ohira R, Nakamura J, Takasumi M, Kato T, Kato T, et al: Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners. Exp Ther Med 29: 53, 2025.
APA
Sugimoto, M., Takagi, T., Suzuki, R., Asama, H., Shimizu, H., Sato, K. ... Ohira, H. (2025). Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners. Experimental and Therapeutic Medicine, 29, 53. https://doi.org/10.3892/etm.2025.12803
MLA
Sugimoto, M., Takagi, T., Suzuki, R., Asama, H., Shimizu, H., Sato, K., Ohira, R., Nakamura, J., Takasumi, M., Kato, T., Yanagita, T., Otsuka, M., Hikichi, T., Ohira, H."Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners". Experimental and Therapeutic Medicine 29.3 (2025): 53.
Chicago
Sugimoto, M., Takagi, T., Suzuki, R., Asama, H., Shimizu, H., Sato, K., Ohira, R., Nakamura, J., Takasumi, M., Kato, T., Yanagita, T., Otsuka, M., Hikichi, T., Ohira, H."Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners". Experimental and Therapeutic Medicine 29, no. 3 (2025): 53. https://doi.org/10.3892/etm.2025.12803
Copy and paste a formatted citation
x
Spandidos Publications style
Sugimoto M, Takagi T, Suzuki R, Asama H, Shimizu H, Sato K, Ohira R, Nakamura J, Takasumi M, Kato T, Kato T, et al: Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners. Exp Ther Med 29: 53, 2025.
APA
Sugimoto, M., Takagi, T., Suzuki, R., Asama, H., Shimizu, H., Sato, K. ... Ohira, H. (2025). Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners. Experimental and Therapeutic Medicine, 29, 53. https://doi.org/10.3892/etm.2025.12803
MLA
Sugimoto, M., Takagi, T., Suzuki, R., Asama, H., Shimizu, H., Sato, K., Ohira, R., Nakamura, J., Takasumi, M., Kato, T., Yanagita, T., Otsuka, M., Hikichi, T., Ohira, H."Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners". Experimental and Therapeutic Medicine 29.3 (2025): 53.
Chicago
Sugimoto, M., Takagi, T., Suzuki, R., Asama, H., Shimizu, H., Sato, K., Ohira, R., Nakamura, J., Takasumi, M., Kato, T., Yanagita, T., Otsuka, M., Hikichi, T., Ohira, H."Selection methods for endoscopic ultrasound‑guided biliary drainage cases that are appropriate for beginners". Experimental and Therapeutic Medicine 29, no. 3 (2025): 53. https://doi.org/10.3892/etm.2025.12803
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