Advances in Endoscopic Ultrasound-Guided Biliary Drainage: A Comprehensive Review.
- Author:
Savreet SARKARIA
1
;
Ho Su LEE
;
Monica GAIDHANE
;
Michel KAHALEH
Author Information
1. Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical College, New York, NY, USA. mkahaleh@gmail.com
- Publication Type:Review
- Keywords:
Endoscopic retrograde cholangiopancreatography;
Endoscopic ultrasound;
Self expanding metal stent
- MeSH:
Bile Ducts;
Catheterization;
Cholangiopancreatography, Endoscopic Retrograde;
Choledochostomy;
Dioxolanes;
Drainage;
Fluorocarbons;
Hand;
Humans
- From:Gut and Liver
2013;7(2):129-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
Endoscopic retrograde cholangiopancreatography (ERCP) has become the first-line therapy for bile duct drainage. In the hands of experienced endoscopists, conventional ERCP results in a failed cannulation rate of 3% to 5%. This failure can occur more commonly in the setting of altered anatomy or technically difficult cases due to either duodenal or biliary obstruction. In cases of ERCP failure, patients have traditionally been referred for either percutaneous transhepatic biliary drainage (PTBD) or surgery. However, both PTBD and surgery have higher than desirable complication rates. Within the last decade, endoscopic ultrasound-guided biliary drainage (EUS-BD) has become an attractive alternative to PTBD after failed ERCP. Many groups have reported on the feasibility, efficacy and safety of this technique. This article reviews the indications for ERCP and the currently practiced EUS-BD techniques, including EUS-guided rendezvous, EUS-guided choledochoduodenostomy and EUS-guided hepaticogastrostomy.
