Pancreatobiliary drainage using the EUS-FNA technique: EUS-BD and EUS-PD.
The recent progression of endoscopic ultrasonography (EUS) enables EUS-guided transmural drainage based on the EUS-guided fine-needle aspiration biopsy technique. Prior to the development of EUS-guided drainage procedures, the options for treating obstruction of the pancreatobiliary system included surgical drainage, percutaneous drainage using ultrasound and radiological guidance, and endoscopic (non EUS-guidance) transmural drainage. Today, using EUS guidance and dedicated accessories, it is possible to create bilio- or pancreato-digestive anastomosis, EUS-guided biliary drainage (EUS-BD), and EUS-guided pancreatic drainage (EUS-PD). The recent literature describes that EUS-BD and EUS-PD have acceptable success and complication rates. These procedures are anticipated for use as alternatives to surgery or percutaneous drainage when endoscopic transpapillary procedures fail.
Irisawa
Atsushi
A
Department of Internal Medicine 2, Fukushima Medical University School of Medicine, Hikarigaoka 1, Fukushima City, Fukushima, 960-1295, Japan. irisawa@fmu.ac.jp
Hikichi
Takuto
T
Shibukawa
Goro
G
Takagi
Tadayuki
T
Wakatsuki
Takeru
T
Takahashi
Yuta
Y
Imamura
Hidemichi
H
Sato
Ai
A
Sato
Masaki
M
Ikeda
Tsunehiko
T
Suzuki
Rei
R
Obara
Katsutoshi
K
Ohira
Hiromasa
H
D001661:Biliary Tract Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D044963:Biopsy, Fine-Needle / Q000379:methods*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D019160:Endosonography / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D011379:Prognosis; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional