Application progress of transpapillary biliary drainage in endoscopic treatment of choledocholithiasis

VernacularTitle:经乳头胆道引流术在内镜治疗胆总管结石中的应用进展
Author: Ao WANG ^{1
,

2} ; Ning LI ¹
Author Information

1. Department of Hepatopancreatobiliary Surgery, Tianjin Hospital of ITCWM, NanKai Hospital, Tianjin University, Tianjin 300100, China
2. Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin 300100, China
Publication Type:Reviews
Keywords: Choledocholithiasis; Endoscopy, Digestive System; Drainage
From: Journal of Clinical Hepatology 2022;38(12):2868-2872
CountryChina
Language:Chinese
Abstract: Transpapillary biliary drainage is important for the endoscopic treatment of choledocholithiasis and its complications. The benefits of various drainage approaches are worth considering. This article discusses the benefits and drawbacks of endoscopic nasobiliary drainage (ENBD) and endoscopic retrograde biliary drainage (ERBD) in endoscopic treatment of choledocholithiasis under different pathological conditions. According to research, although both drainage methods are equally safe and effective, ENBD plays an important role in emergency biliary drainage, while ERBD has advantages in the medium-and long-term treatment of refractory choledocholithiasis. With the ongoing evolution of biliary drainage in endoscopic treatment of choledocholithiasis, ERBD has a promising future due to its small diameter, pigtail type, self-shedding or biodegradable characteristics.