Gastrointestinal Intervention  2016;5(3):203-211

doi:10.18528/gii150019

Endoscopic ultrasound-guided biliary drainage.

Majid A ALMADI 1 ; Nonthalee PAUSAWASDI ; Thawee RATANCHUEK ; Anthony Yuen Bun TEOH ; Khek Yu HO ; Vinay DHIR

Affiliations

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Keywords

Bile duct diseases; Biliary tract neoplasms; Endoscopic retrograde cholangiopancreatography; Endosonography; Jaundice, obstructive

Country

Republic 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.