Endoscopic ultrasound-guided biliary drainage.
- Author:
Majid A ALMADI
1
;
Nonthalee PAUSAWASDI
;
Thawee RATANCHUEK
;
Anthony Yuen Bun TEOH
;
Khek Yu HO
;
Vinay DHIR
Author Information
- Publication Type:Review
- Keywords: Bile duct diseases; Biliary tract neoplasms; Endoscopic retrograde cholangiopancreatography; Endosonography; Jaundice, obstructive
- MeSH: Bile Duct Diseases; Biliary Tract Neoplasms; Catheterization; Cholangiopancreatography, Endoscopic Retrograde; Constriction, Pathologic; Drainage*; Duodenum; Endosonography; Humans; Jaundice, Obstructive; Prospective Studies; Stents; Stomach
- From:Gastrointestinal Intervention 2016;5(3):203-211
- CountryRepublic of Korea
- Language:English
- Abstract: Endoscopic ultrasound-guided biliary drainage (EUS-BD) is emerging as a safe and effective alternative for endoscopic BD. The advantage of multiple access points from stomach and duodenum allows EUS-BD in patients with altered surgical anatomy and duodenal stenosis. EUS-BD is also useful in patients with failed endoscopic retrograde cholangiopancreatography or difficult biliary cannulation. Depending on the access and exit route of the stent, a variety of EUS-BD procedures have been described. Trans-papillary as well as trans-luminal stent placements are possible with EUS-BD. Recent studies have shown a clinical success rate in excess of 90% and complication rates of < 15%. Prospective studies are needed to know the long-term results and relative efficacy of this technique.
