title: Endoscopic ultrasound-guided biliodigestive drainage is a good alternative in patients with unresectable cancer.
abstract: A total of 11 prospective cases of endoscopic ultrasound (EUS)-guided cholangio-drainage (EUCD) in patients with end-stage biliopancreatic cancer and biliary tract obstruction are reported. Other available drainage methods (endoscopic retrograde cholangiopancreatography and/or percutaneous transhepatic biliary drainage) of the biliary tract were attempted without success prior to EUS. Technical and clinical success was achieved in 10/11 patients (91%) and in 9/10 patients (90%), respectively. Bilirubin decreased by more than 50% in 7/11 patients (64%). One patient had a complication that required re-intervention and another patient developed biloma. No mortality directly related to the procedure was documented. In conclusion, EUCD is a good alternative for patients with malignant obstruction of the biliary tract in whom other drainage methods have failed.
authors.affiliation: Endoscopy department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México City, México. mangelramirez@yahoo.com
authors.forename: M A
authors.initials: MA
authors.lastname: Ramírez-Luna
authors.forename: F I
authors.initials: FI
authors.lastname: Téllez-Ávila
authors.forename: M
authors.initials: M
authors.lastname: Giovannini
authors.forename: F
authors.initials: F
authors.lastname: Valdovinos-Andraca
authors.forename: I
authors.initials: I
authors.lastname: Guerrero-Hernández
authors.forename: J
authors.initials: J
authors.lastname: Herrera-Esquivel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001663:Bilirubin / Q000097:blood; D001651:Cholestasis, Extrahepatic / Q000097:blood / Q000209:etiology / Q000628:therapy*; D004067:Digestive System Neoplasms / Q000150:complications*; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D015607:Stents; D018084:Ultrasonography, Interventional; D055815:Young Adult
chemical_list: D001663:Bilirubin