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Utility of dedicated bougie dilator for a 0.018-inch guidewire during EUS-guided biliary drainage: A multi-center retrospective cohort study
Journal of Hepato-Biliary-Pancreatic Sciences ( IF 3 ) Pub Date : 2021-07-17 , DOI: 10.1002/jhbp.1021
Takuji Iwashita 1 , Takeshi Ogura 2 , Hirotoshi Ishiwatari 3 , Yousuke Nakai 4, 5 , Keisuke Iwata 6 , Tsuyoshi Mukai 7 , Masahito Shimizu 1 , Hiroyuki Isayama 8 , Ichiro Yasuda 9 , Takao Itoi 10
Affiliation  

During endoscopic ultrasound-guided biliary drainage (EUS-BD), a combination of a 19-gauge needle and a 0.025-inch guidewire is generally used. However, a 19-gauge needle has poor maneuverability because of their stiffness and rigidity and might have poor penetrability in non-dilated bile ducts because of their large bore. In contrast, the application of a 22-gauge needle is expected to have improved maneuverability. However, only a 0.018-inch guidewire, which has less supportability, is applicable in the subsequent guidewire selection. This study aimed to evaluate the feasibility and safety of a dedicated bougie dilator for a 0.018-inch guidewire.

中文翻译:

在 EUS 引导的胆道引流中使用专用探条扩张器用于 0.018 英寸导丝:一项多中心回顾性队列研究

在超声内镜引导下胆道引流 (EUS-BD) 期间,通常使用 19 号针和 0.025 英寸导丝的组合。然而,19 号针头由于其刚度和刚性而具有较差的可操作性,并且由于其较大的孔径,在未扩张的胆管中可能具有较差的穿透性。相比之下,22 号针头的应用有望提高可操作性。但在后续的导丝选型中,只有0.018英寸的导丝,支撑性较差。本研究旨在评估用于 0.018 英寸导丝的专用探条扩张器的可行性和安全性。
更新日期:2021-07-17
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