期刊
DIGESTIVE DISEASES AND SCIENCES
卷 67, 期 5, 页码 1649-1659出版社
SPRINGER
DOI: 10.1007/s10620-022-07423-w
关键词
Failed ERCP; EUS; Biliary drainage; Pancreatic drainage; Altered anatomy
Pancreaticobiliary endotherapy continues to progress in the era of therapeutic endosonography. Endoscopic ultrasound-guided biliary and pancreatic duct drainage is increasingly becoming the preferred alternative when ERCP fails.
Pancreaticobiliary (PB) endotherapy continues to progress in the era of therapeutic endosonography. Endoscopic retrograde cholangiopancreatography (ERCP) remains the primary method for PB access in native and altered anatomy. In altered anatomy, PB access can be obtained via enteroscopy-assisted ERCP (e-ERCP) or laparoscopy-assisted ERCP; however, both approaches have significant limitations. Endoscopic ultrasound-guided biliary and pancreatic duct drainage (EUS-BPD) are increasingly becoming the preferred alternative when ERCP fails, with advantages over percutaneous drainage. EUS-BPD continues to evolve with better feasibility, safety and efficacy as dedicated procedural equipment continues to improve. In this article, we discuss the role of endoscopic ultrasound (EUS) when ERCP fails and their indications, technique, and outcomes.
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