Endoscopic ultrasound-guided biliary drainage: a review
نویسندگان
چکیده
Endoscopic retrograde cholangiography (ERCP) is widely used as a first-line therapy for biliary drainage. ERCP occasionally fails owing to anatomical or technical problems, despite high reported success rates. Endoscopic ultrasound-guided biliary drainage (EUS-BD) has recently emerged as an effective alternative biliary drainage method after unsuccessful ERCP. EUS-BD can be essentially divided into 3 different techniques-(1) EUS-guided transluminal biliary drainage including choledocoduodenostomy and hepaticogastrostomy, (2) EUS-rendezvous technique, and (3) EUS-antegrade approach. Here, we focus on the current status of EUS-BD in light of these 3 different techniques.
منابع مشابه
Advances in Endoscopic Ultrasound-Guided Biliary Drainage: A Comprehensive Review
Endoscopic retrograde cholangiopancreatography (ERCP) has become the first-line therapy for bile duct drainage. In the hands of experienced endoscopists, conventional ERCP results in a failed cannulation rate of 3% to 5%. This failure can occur more commonly in the setting of altered anatomy or technically difficult cases due to either duodenal or biliary obstruction. In cases of ERCP failure, ...
متن کاملEndoscopic Ultrasound-Guided Biliary Drainage
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 endo...
متن کاملCurrent status of endosonography-guided biliary drainage.
An obstructed biliary system is usually drained by endoscopic retrograde cholangiopancreatography, and when this is unsuccessful, the standard alternative technique is percutaneous transhepatic biliary drainage. Surgical biliary bypass may also be required. In recent years, endosonography has transformed from a solely diagnostic procedure to one with therapeutic capabilities. Endosonography-gui...
متن کاملEndoscopic ultrasound-guided biliary drainage as an alternative to percutaneous drainage and surgical bypass.
Endoscopic retrograde cholangiopancreatography had been a treatment modality of choice for both benign and malignant biliary tract obstruction for more than half century, with a very high clinical success rate and low complications. But in certain circumstances, such as advanced and locally advanced pancreatobiliary malignancies (pancreatic cancer, cholangiocarcinoma, ampullary tumor) and tight...
متن کاملEndoscopic ultrasound-guided gallbladder drainage: Redefines the boundaries
Last one decade has seen a rapid expansion of indications and technical feasibility for endoscopic ultrasound (EUS)-guided interventions. EUS-guided gallbladder (GB) drainage is gradually emerging as an option among patients who are not eligible for surgical intervention. Calculous and acalculous cholecystitis, biliary malignancy with patent cystic duct and GB hydrops are few of the indications...
متن کامل