Gastrointest Interv.  2016 Oct;5(3):203-211. 10.18528/gii150019.

Endoscopic ultrasound-guided biliary drainage

Affiliations
  • 1Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
  • 2Department of Internal Medicine, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand.
  • 3Department of Surgery, Rajavithi Hospital, Bangkok, Thailand.
  • 4Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • 5Department of Medicine, National University Health System, Singapore.
  • 6Baldota Institute of Digestive Sciences, Global Hospitals, Mumbai, India. vinaydhir@gmail.com

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.

Keyword

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

MeSH Terms

Bile Duct Diseases
Biliary Tract Neoplasms
Catheterization
Cholangiopancreatography, Endoscopic Retrograde
Constriction, Pathologic
Drainage*
Duodenum
Endosonography
Humans
Jaundice, Obstructive
Prospective Studies
Stents
Stomach
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