Int J Gastrointest Interv.
2022 Jul;11(3):102-104. 10.18528/ijgii220022.
Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction
- Affiliations
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- 1Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea
- KMID: 2532308
- DOI: http://doi.org/10.18528/ijgii220022
Abstract
- Endoscopic retrograde cholangiopancreatography is the standard therapeutic approach for malignant distal biliary obstruction (MDBO). However, it can be challenging in patients with surgically altered anatomy, pyloric/duodenal obstruction, or failed biliary cannulation. Since the development of endoscopic ultrasound (EUS), EUS-guided biliary drainage (EUS-BD) has been increasingly performed. The current article provides a concise review of the latest practices and techniques of EUS-BD procedures for MDBO including EUS-assisted rendezvous, EUS-guided antegrade stenting, EUSguided choledochoduodenostomy, and EUS-guided hepaticogastrostomy.
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