Endoscopic ultrasound-guided biliary drainage: Are we there yet?
| Autor: | Troy Pleasant, Chloe Tom, Swati Pawa, Rishi Pawa |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Endoscopic ultrasound
Biliary drainage medicine.medical_specialty Percutaneous Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry General surgery Endoscopic ultrasound-guided choledochoduodenostomy Minireviews Endoscopic ultrasound-guided hepaticogastrostomy medicine.disease digestive system diseases Biliary disease Endoscopic ultrasound-guided gallbladder drainage Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography Safety profile Endoscopic ultrasound-guided rendezvous medicine Endoscopic ultrasound-guided biliary drainage Drainage business |
| Zdroj: | World Journal of Gastrointestinal Endoscopy |
| ISSN: | 1948-5190 |
| DOI: | 10.4253/wjge.v13.i8.302 |
| Popis: | Endoscopic retrograde cholangiopancreatography (ERCP) is the mainstay procedure of choice for management of obstructive biliary disease. While ERCP is widely performed with high success rates, the procedure is not feasible in every patient such as cases of non-accessible papilla. In the setting of unsuccessful ERCP, endoscopic ultrasound-guided biliary drainage (EUS-BD) has become a promising alternative to surgical bypass and percutaneous biliary drainage (PTBD). A variety of different forms of EUS-BD have been described, allowing for both intrahepatic and extrahepatic approaches. Recent studies have reported high success rates utilizing EUS-BD for both transpapillary and transluminal drainage, with fewer adverse events when compared to PTBD. Advancements in novel technologies designed specifically for EUS-BD have led to increased success rates as well as improved safety profile for the procedure. The techniques of EUS-BD are yet to be fully standardized and are currently performed by highly trained advanced endoscopists. The aim of our review is to highlight the different EUS-guided interventions for achieving biliary drainage and to both assess the progress that has been made in the field as well as consider what the future may hold. |
| Databáze: | OpenAIRE |
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