Endoscopic Ultrasound-Guided Biliary Drainage.
10.3348/kjr.2012.13.S1.S74
- Author:
Everson LA ARTIFON
1
;
Flavio C FERREIRA
;
Paulo SAKAI
Author Information
1. University of Sao Paulo, Sao Paulo, SP-Brazil. eartifon@hotmail.com
- Publication Type:Review
- Keywords:
Biliary tract;
Drainage;
Endosonography;
Gastrointestinal endoscopy;
Obstructive jaundice
- MeSH:
Bile Duct Diseases/*surgery/ultrasonography;
Cholangiopancreatography, Endoscopic Retrograde;
Choledochostomy/methods;
Drainage/*methods;
Endosonography/*methods;
Gastrostomy/methods;
Humans;
*Ultrasonography, Interventional
- From:Korean Journal of Radiology
2012;13(Suppl 1):S74-S82
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To demonstrate a comprehensive review of published articles regarding endoscopic ultrasound (EUS)-guided biliary drainage. MATERIALS AND METHODS: Review of studies regarding EUS-guided biliary drainage including case reports, case series and previous reviews. RESULTS: EUS-guided hepaticogastrostomy, coledochoduodenostomy and choledoantrostomy are advanced biliary and pancreatic endoscopy procedures, and together make up the echo-guided biliary drainage. Hepaticogastrostomy is indicated in cases of hilar obstruction, while the procedure of choice is the coledochoduodenostomy or choledochoantrostomy in distal lesions. Both procedures must be performed only after unsuccessful ERCPs. The indication of these procedures must be made under a multidisciplinary view while sharing information with the patient or legal guardian. CONCLUSION: Hepaticogastrostomy and coledochoduodenostomy or choledochoantrostomy are feasible when performed by endoscopists with expertise in biliopancreatic endoscopy. Advanced echo-endoscopy should currently be performed under a rigorous protocol in educational institutions.
