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Endoscopic Guided Biliary Drainage: How Can We Achieve Efficient Biliary Drainage?

Monica Gaidhane|Michel Kahaleh|Prashant Kedia
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2013.09|Clinical Endoscopy|제46권 제5호|pp. 543-551

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참고문헌

키워드

Biliary strictureCholangiopancreatographyendoscopic retrogradeEndosonographyEndoscopic ultrasound guided biliary drainage
주제분류내과학

초록

Currently, endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary drainage for various pancreatico-biliary disorders. ERCP is successful in 90% of the cases, but is unsuccessful in cases with altered anatomy or with tumors obstructing access to the duodenum. Due to the morbidity and mortality associated with surgical or percutaneous approaches in unsuccessful ERCP cases, biliary endoscopists have been using endoscopic ultrasound-guided biliary drainage (EUS-BD) more frequently within the last decade in different countries. As with any novel advanced endoscopic procedure that incorporates various approaches, advanced endoscopists all over the world have innovated and adopted diverse EUS-BD techniques. Indications for EUS-BD include failed conventional ERCP, altered anatomy, tumor preventing access into the biliary tree and contraindication to percutaneous access (i.e., ascites, etc.). EUS-BD utilizing EUS-guided rendezvous technique is conducted by creating a tract from either the stomach or the duodenum into the bile duct. Although EUS-BD has rapidly been gaining attraction and popularity in the endoscopic world, the indications and methods have yet to be standardized. There are several access routes and techniques that are employed by advanced endoscopists throughout the world for BD. This article reviews the indications and currently practiced EUS-BD techniques, including indications, technical details (intrahepatic or extrahepatic approach), equipment, patient selection, complications, and overall advantages and limitations.

Abstract

Currently, endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary drainage for various pancreatico-biliary disorders. ERCP is successful in 90% of the cases, but is unsuccessful in cases with altered anatomy or with tumors obstructing access to the duodenum. Due to the morbidity and mortality associated with surgical or percutaneous approaches in unsuccessful ERCP cases, biliary endoscopists have been using endoscopic ultrasound-guided biliary drainage (EUS-BD) more frequently within the last decade in different countries. As with any novel advanced endoscopic procedure that incorporates various approaches, advanced endoscopists all over the world have innovated and adopted diverse EUS-BD techniques. Indications for EUS-BD include failed conventional ERCP, altered anatomy, tumor preventing access into the biliary tree and contraindication to percutaneous access (i.e., ascites, etc.). EUS-BD utilizing EUS-guided rendezvous technique is conducted by creating a tract from either the stomach or the duodenum into the bile duct. Although EUS-BD has rapidly been gaining attraction and popularity in the endoscopic world, the indications and methods have yet to be standardized. There are several access routes and techniques that are employed by advanced endoscopists throughout the world for BD. This article reviews the indications and currently practiced EUS-BD techniques, including indications, technical details (intrahepatic or extrahepatic approach), equipment, patient selection, complications, and overall advantages and limitations.

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관련 논문AI추천

Advances in Endoscopic Ultrasound-Guided Biliary Drainage: A Comprehensive ReviewHo-Su Lee, Michel Kahaleh, Monica Gaidhane, Savreet Sarkaria거트앤리버 소화기연관학회협의회 · Gut and Liver2013 · 제7권 제2호Recent development of endoscopic ultrasound-guided biliary drainageRastislav Kunda소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2020 · 제9권 제4호Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary DiseasesHirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike, Yousuke Nakai대한소화기내시경학회 · Clinical Endoscopy2019 · 제52권 제3호Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstructionDong Kee Jang소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제3호Endoscopic ultrasound-guided biliary drainage in malignant hilar obstructionSe Woo Park소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 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 제4호

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