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Endoscopic Ultrasound-Guided Biliary Drainage for Unresectable Hilar Malignant Biliary Obstruction

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초록

Endoscopic transpapillary biliary drainage is the current standard of care for unresectable hilar malignant biliary obstruction (MBO)and bilateral metal stent placement is shown to have longer patency. However, technical and clinical failure is possible and percutaneoustranshepatic biliary drainage (PTBD) is sometimes necessary. Endoscopic ultrasound-guided biliary drainage (EUS-BD) is increasinglybeing reported as an alternative rescue procedure to PTBD. EUS-BD has a potential advantage of not traversing the biliary strictureand internal drainage can be completed in a single session. Some approaches to bilateral biliary drainage for hilar MBO under EUSguidanceinclude a bridging method, hepaticoduodenostomy, and a combination of EUS-BD and transpapillary biliary drainage. Theaim of this review is to summarize data on EUS-BD for hilar MBO and to clarify its advantages over the conventional approaches suchas endoscopic transpapillary biliary drainage and PTBD.

Abstract

Endoscopic transpapillary biliary drainage is the current standard of care for unresectable hilar malignant biliary obstruction (MBO)and bilateral metal stent placement is shown to have longer patency. However, technical and clinical failure is possible and percutaneoustranshepatic biliary drainage (PTBD) is sometimes necessary. Endoscopic ultrasound-guided biliary drainage (EUS-BD) is increasinglybeing reported as an alternative rescue procedure to PTBD. EUS-BD has a potential advantage of not traversing the biliary strictureand internal drainage can be completed in a single session. Some approaches to bilateral biliary drainage for hilar MBO under EUSguidanceinclude a bridging method, hepaticoduodenostomy, and a combination of EUS-BD and transpapillary biliary drainage. Theaim of this review is to summarize data on EUS-BD for hilar MBO and to clarify its advantages over the conventional approaches suchas endoscopic transpapillary biliary drainage and PTBD.

참고문헌 (32)

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관련 논문AI추천

Endoscopic ultrasound-guided biliary drainage in malignant hilar obstructionSe Woo Park소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제3호Endoscopic ultrasound-guided intervention for inaccessible papilla in advanced malignant hilar biliary obstructionPartha Pal, Sundeep Lakhtakia대한소화기내시경학회 · Clinical Endoscopy2023 · 제56권 제2호Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstructionDong Kee Jang소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제3호Proper management of inoperable malignant hilar biliary obstruction: Endoscopic retrograde cholangiopancreatography, endoscopic ultrasound, or percutaneous approach?이태훈소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2021 · 제10권 제3호Efficacy of endoscopic ultrasound-guided biliary drainage of malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trialsFabeeha Shaheen, Hafsa Azam, Laila Manzoor, Muaaz Masood, Muhammad Abdullah Bin Azhar, Rajesh Krishnamoorthi, Syed Sarmad Javaid, Yousaf Zafar대한소화기내시경학회 · Clinical Endoscopy2025 · 제58권 제4호Endoscopic Reintervention for Recurrence of Malignant Biliary Obstruction: Developing the Best StrategyKudo Masatoshi, Takenaka Mamoru거트앤리버 소화기연관학회협의회 · Gut and Liver2022 · 제16권 제4호

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