Table 2.
Outcome summary comparing EUS-CD to percutaneous transhepatic biliary drainage in the overall cohort (n=86) and in the subgroup of patients with malignant distal biliary obstruction (n=69)
| Outcomes | Overall cohort (n=86) | Malignant distal biliary obstruction only (n=69) | ||||
|---|---|---|---|---|---|---|
|
|
|
|||||
| EUS-CD (n=28) | PTBD (n=58) | P | EUS-CD (n=23) | PTBD (n=46) | P | |
| Technical success, n (%) | 28 (100) | 56 (96.6) | 0.3 | 23 (100) | 45 (97.8) | 0.48 |
| Clinical success, n (%) | 22 (84.6) | 36 (62.1) | 0.04 | 17 (81) | 32 (69.6) | 0.33 |
| Adverse events, n (%) | 4 (14.3) | 17 (29.3) | 0.1 | 3 (13) | 13 (28.3) | 0.16 |
| Occlusion | 1 (3.6) | 6 (10.3) | 0.3 | 1 (4.3) | 6 (13) | 0.26 |
| Cholangitis | 3 (10.7) | 7 (12.1) | 0.85 | 2 (8.7) | 5 (10.9) | 0.78 |
| Migration | 0 | 4 (6.9) | 0.16 | 0 | 4 (8.7) | 0.15 |
| Perforation | 0 | 1 (1.7) | 0.49 | 0 | 1 (2.2) | 0.48 |
| Bile leak | 2 (7.1) | 2 (3.5) | 0.45 | 2 (8.7) | 1 (2.2) | 0.2 |
| Bleeding | 0 | 3 (5.2) | 0.2 | 0 | 2 (4.4) | 0.31 |
| Need for reintervention, n (%) | 3 (10.7) | 45 (77.6) | <0.001 | 2 (8.7) | 35 (76.1) | <0.001 |
| Time for reintervention (days), mean±SD* | 268 (315) | 64 (261) | <0.001 | 357.5 (74.2) | 74 (295) | <0.001 |
| Number of reinterventions, mean±SD | 0.14 (0.45) | 1.9 (2.1) | <0.001 | 0.13 (0.45) | 2 (2.3) | <0.001 |
| Death, n (%) | 16 (57.1) | 47 (81) | 0.02 | 15 (65.2) | 45 (97.8) | <0.001 |
*Among patients with malignant obstruction. EUS-CD: EUS-guided choledochoduodenostomy; PTBD: Percutaneous transhepatic biliary drainage; SD: Standard deviation