Post by Mike de Jong

MD, AIOS MDL (vooropleiding interne geneeskunde) bij Jeroen Bosch Ziekenhuis

🚨 Proud to share the results of our latest publication! š—˜š—Øš—¦-š—“š˜‚š—¶š—±š—²š—± š—°š—µš—¼š—¹š—²š—±š—¼š—°š—µš—¼š—±š˜‚š—¼š—±š—²š—»š—¼š˜€š˜š—¼š—ŗš˜† (š—˜š—Øš—¦-š—–š——š—¦) seems to be associated with š—¹š—¼š˜„š—²š—æ š—ŗš—¼š—æš˜š—®š—¹š—¶š˜š˜† š—®š—»š—± š—”š—˜ š—æš—®š˜š—²š˜€, shorter hospital admission, and fewer reinterventions compared with š—£š—§š—•š——. In our multicenter registry, we investigated outcomes in patients with š—±š—¶š˜€š˜š—®š—¹ š—ŗš—®š—¹š—¶š—“š—»š—®š—»š˜ š—–š—•š—— š—¼š—Æš˜€š˜š—æš˜‚š—°š˜š—¶š—¼š—» following unsuccessful ERCP. Over 18 months, 55 patients were included: 12 underwent š—£š—§š—•š—— and 43 underwent š—˜š—Øš—¦-š—–š——š—¦. šŸ” Key findings:  • šŸµšŸ¬-š—±š—®š˜† š—ŗš—¼š—æš˜š—®š—¹š—¶š˜š˜†: 66.7% (PTBD) vs. 20.9% (EUS-CDS) (P = 0.005)  • š—”š—±š˜ƒš—²š—æš˜€š—² š—²š˜ƒš—²š—»š˜š˜€: 91.7% (PTBD) vs. 44.2% (EUS-CDS) (P = 0.004)  • š— š—²š—±š—¶š—®š—» š—½š—¼š˜€š˜-š—½š—æš—¼š—°š—²š—±š˜‚š—æš—®š—¹ š—µš—¼š˜€š—½š—¶š˜š—®š—¹ š˜€š˜š—®š˜†: 4 days (PTBD) vs. 1 day (EUS-CDS) (P = 0.001)  • š—§š—²š—°š—µš—»š—¶š—°š—®š—¹ š˜€š˜‚š—°š—°š—²š˜€š˜€: 100% (PTBD) vs. 97.7% (EUS-CDS) Notably, when both options were available and technically feasible, š—“š—®š˜€š˜š—æš—¼š—²š—»š˜š—²š—æš—¼š—¹š—¼š—“š—¶š˜€š˜š˜€ š—³š—®š˜ƒš—¼š—æš—²š—± š—˜š—Øš—¦-š—–š——š—¦. https://lnkd.in/gh9_-MZ6 Foke van Delft, Erwin van Geenen, Auke Bogte, Robert Verdonk, Niels Venneman, dr. Jan maarten vrolijk, Jan Willem A. Straathof, Rogier Voermans, Rina Bijlsma, Sjoerd Kuiken, Rutger Quispel, Muhammed Hadithi, Kirill Basiliya, Frank Vleggaar, Tanya Bisseling, Thomas de Wijkerslooth, Marco Bruno, Roy van Wanrooij and Peter Siersema