Table 3.
Bridge technique in 25 patients
Author, year of publication | n | Access | Gauge of the needle | Wire (inch) | Use of a 6-Fr cystotome | Dilation | Type of stent | Type of stenosis | Previous stent placement | Clinical success | Adverse events | Survival/follow-up |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Ogura et al., 2015[15] | 7 | Stomach | 19 | 0.025 | No | Yes, 7-Fr tapered ERCP catheter, 4-mm balloon catheter (2 patients) | 6 cm uncovered metal stent, fully covered stent | Obstructed right IHBD | No | 100% | No | 116 days |
Moryoussef et al., 2017[18] | 3 (6 attempts) | Stomach | 19 | 0.035 | Yes for HGS, no for bridge technique | Yes, hilar stenosis with a balloon No, hepatic fistula | 8 cm metal covered, uncovered metal stent | Bismuth, 2 | Unknown | 50% | No | Unknown |
Caillol et al., 2019[19] | 12 | Stomach | 19 | 0.035 | Yes | Yes, hilar stenosis with a 4-mm balloon | 6 cm or 8 cm metal uncovered, partially metal covered stent | Type II, 9 Type IIIB, 2 Type IV, 1 | No | 83% (10/12) | Yes, morbidity rate: 33% (4 patients) with 1 patient needing re-endoscopy; mortality rate: 8% (1 patient) | 6 months |
Fr: French, HGS: Hepaticogastrostomy, IHBD: Intrahepatic bile duct