Endoscopic ultrasound-guided biliary drainage in malignant biliary obstruction: Research progress
10.16781/j.0258-879x.2020.07.0757
- VernacularTitle: 超声内镜引导下胆管引流在恶性胆管梗阻中的研究进展
- Author:
Qi JIANG
1
Author Information
1. Department of Gastroenterology, Changhai Hospital, Naval Medical University (Second Military Medical University)
- Publication Type:Journal Article
- Keywords:
Biliary drainage;
Endoscopic retrograde cholangiopancreatography;
Endoscopic ultrasound;
Malignant biliary obstruction;
Percutaneous transhepatic biliary drainage
- From:
Academic Journal of Second Military Medical University
2020;41(7):880-884
- CountryChina
- Language:Chinese
-
Abstract:
Malignant biliary obstruction (MBO) leads to obstructive jaundice as a result of bile excretion disorder, which may cause complications such as cholangitis, sepsis, hepatic failure and even life-threatening. Biliary drainage is an effective mean to relieve symptoms and improve patients'quality of life. At present, endoscopic retrograde cholangiopancreatography (ERCP) is the first-line palliative treatment for MBO patients without surgical opportunity. In recent years, endoscopic ultrasound-guided biliary drainage (EUS-BD) has been gradually accepted as an alternative to percutaneous transhepatic biliary drainage (PTBD) in MBO with failed ERCP. The available evidence suggests that EUS-BD might even replace ERCP as the first-line procedure in patients with malignant distal biliary obstruction by experienced surgeons. This paper reviews the research progresses of EUS-BD in MBO.
