Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary Tube

Background. The aim of this study was to compare the outcomes of the endoscopic hands-off technique and the conventional technique when repositioning an endoscopic nasobiliary drainage (ENBD) tube from the mouth to the nose. Methods. We conducted a retrospective cohort study of all endoscopic retrog...

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Main Authors: Min Jae Yang, Jae Chul Hwang, Miyeon Lee, Choong-Kyun Noh, Soon Sun Kim, Byung Moo Yoo, Jin Hong Kim
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/3678647
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author Min Jae Yang
Jae Chul Hwang
Miyeon Lee
Choong-Kyun Noh
Soon Sun Kim
Byung Moo Yoo
Jin Hong Kim
author_facet Min Jae Yang
Jae Chul Hwang
Miyeon Lee
Choong-Kyun Noh
Soon Sun Kim
Byung Moo Yoo
Jin Hong Kim
author_sort Min Jae Yang
collection DOAJ
description Background. The aim of this study was to compare the outcomes of the endoscopic hands-off technique and the conventional technique when repositioning an endoscopic nasobiliary drainage (ENBD) tube from the mouth to the nose. Methods. We conducted a retrospective cohort study of all endoscopic retrograde cholangiopancreatographies (ERCPs) performed between July 2013 and May 2015 at a single tertiary referral center. A total of 1187 ERCPs were performed during the study period. Among them, 114 patients who underwent ENBD were enrolled in this study. In those patients, we used the endoscopic hands-off technique between July 2013 and May 2014 (endoscopy group) and the conventional technique between June 2014 and May 2015 (conventional group). Results. Technical success was achieved in 100% (58/58) of the endoscopy group and 94.6% (53/56) of the conventional group (P=0.115). In the 3 cases of failed conventional technique, the endoscopic hands-off technique was then performed, and conversion of the ENBD tube was successful in all of these patients. The procedure time was significantly shorter in the endoscopy group than in the conventional group (124 s versus 149 s, P=0.001). Conclusion. The endoscopic hands-off technique was feasible and effective for oral-nasal conversion of an ENBD tube.
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spelling doaj-art-2b93486c29df4b679beeb3613e5df7762025-02-03T06:12:39ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/36786473678647Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary TubeMin Jae Yang0Jae Chul Hwang1Miyeon Lee2Choong-Kyun Noh3Soon Sun Kim4Byung Moo Yoo5Jin Hong Kim6Department of Gastroenterology, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Gastroenterology, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Gastroenterology, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Gastroenterology, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Gastroenterology, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Gastroenterology, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Gastroenterology, Ajou University School of Medicine, Suwon 16499, Republic of KoreaBackground. The aim of this study was to compare the outcomes of the endoscopic hands-off technique and the conventional technique when repositioning an endoscopic nasobiliary drainage (ENBD) tube from the mouth to the nose. Methods. We conducted a retrospective cohort study of all endoscopic retrograde cholangiopancreatographies (ERCPs) performed between July 2013 and May 2015 at a single tertiary referral center. A total of 1187 ERCPs were performed during the study period. Among them, 114 patients who underwent ENBD were enrolled in this study. In those patients, we used the endoscopic hands-off technique between July 2013 and May 2014 (endoscopy group) and the conventional technique between June 2014 and May 2015 (conventional group). Results. Technical success was achieved in 100% (58/58) of the endoscopy group and 94.6% (53/56) of the conventional group (P=0.115). In the 3 cases of failed conventional technique, the endoscopic hands-off technique was then performed, and conversion of the ENBD tube was successful in all of these patients. The procedure time was significantly shorter in the endoscopy group than in the conventional group (124 s versus 149 s, P=0.001). Conclusion. The endoscopic hands-off technique was feasible and effective for oral-nasal conversion of an ENBD tube.http://dx.doi.org/10.1155/2016/3678647
spellingShingle Min Jae Yang
Jae Chul Hwang
Miyeon Lee
Choong-Kyun Noh
Soon Sun Kim
Byung Moo Yoo
Jin Hong Kim
Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary Tube
Gastroenterology Research and Practice
title Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary Tube
title_full Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary Tube
title_fullStr Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary Tube
title_full_unstemmed Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary Tube
title_short Endoscopic Hands-Off Technique versus Conventional Technique for Conversion from an Orobiliary to a Nasobiliary Tube
title_sort endoscopic hands off technique versus conventional technique for conversion from an orobiliary to a nasobiliary tube
url http://dx.doi.org/10.1155/2016/3678647
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