Is EUS-guided drainage a suitable alternative technique in case of proximal biliary obstruction?

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Is EUS-guided drainage a suitable alternative technique in case of proximal biliary obstruction?

BACKGROUND Results of endoscopic ultrasound-guided biliary drainage (EUBD) are unknown in case of proximal stricture. The aim is to assess clinical outcomes of EUBD in patients with malignant hilar obstruction. METHODS Patients undergoing EUBD with hilar strictures were prospectively included. Primary outcome was clinical success at 7 and 30 days (defined by 50% bilirubin decrease). Secondary...

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EUS-Guided Biliary Drainage

The echoendoscopic biliary drainage is an option to treat obstructive jaundices when ERCP drainage fails. These procedures compose alternative methods to the side of surgery and percutaneous transhepatic biliary drainage, and it was only possible by the continuous development and improvement of echoendoscopes and accessories. The development of linear setorial array echoendoscopes in early 1990...

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EUS-guided biliary drainage: a review article.

CONTEXT To demonstrate a comprehensive review of published articles regarding EUS-guided biliary drainage. METHODS Review of studies regarding EUS-guided biliary drainage including case reports, case series and previous reviews. RESULTS EUS-guided hepaticogastrostomy, choledochoduodenostomy and choledochoantrostomy are advanced procedures on biliary and pancreatic endoscopy and together mak...

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Untying the knot: technique of unraveling a guidewire knot created during EUS-guided biliary drainage.

Inadvertent knotting of guidewires and catheters has been reported in several procedures, including cardiac catheterization [1], central venous access [2], and urologic procedures [3]. However, there are no reports of guidewire knotting during endoscopic procedures. We describe successful untangling of a knot created in a guidewire during endoscopic ultrasound (EUS)-guided rendezvous biliary dr...

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CONTEXT Endoscopic retrograde cholangiopancreatography (ERCP) is the procedure of choice for biliary decompression in patients with unresectable pancreatic cancer. However, it may be unsuccessful in 3 to 10% of cases. When ERCP is unsuccessful, the usual alternatives are percutaneous transhepatic biliary drainage or surgery. Recently, several authors have reported the use of EUS-guided biliary ...

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ژورنال

عنوان ژورنال: Therapeutic Advances in Gastroenterology

سال: 2017

ISSN: 1756-2848,1756-2848

DOI: 10.1177/1756283x17702614