Journal
DIGESTIVE ENDOSCOPY
Volume 30, Issue 1, Pages 38-47Publisher
WILEY
DOI: 10.1111/den.12910
Keywords
biliary drainage; endoscopic ultrasound; endoscopic ultrasound-guided biliary drainage (EUS-BD); interventional EUS; malignant biliary obstruction
Categories
Funding
- Japan Society for the Promotion of Science
Ask authors/readers for more resources
Endoscopic ultrasound-guided biliary drainage (EUS-BD) is increasingly used as an alternative in patients with biliary obstruction who fail standard endoscopic retrograde cholangiopancreatography (ERCP). The two major endoscopic approach routes for EUS-BD are the transgastric intrahepatic and the transduodenal extrahepatic approaches. Biliary drainage can be achieved by three different methods, transluminal biliary stenting, transpapillary rendezvous technique, and antegrade biliary stenting. Choice of approach route and drainage method depends on individual anatomy, underlying disease, and location of the biliary stricture. Recent meta-analyses have revealed that cumulative technical success and adverse event rates were 90-94% and 16-23%, respectively. Development of new dedicated devices for EUS-BD would help refine the technical aspects and minimize the possibility of complications, making it a more promising procedure.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available