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Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction

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초록

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.

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.

참고문헌 (27)

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