Endoscopic ultrasonography-guided hepaticogastrostomy.
To date, percutaneous transhepatic biliary drainage (PTBD) has been considered as the usual biliary access after failed endoscopic retrograde cholangiopancreatography (ERCP). Since endoscopic ultrasonography (EUS)-guided bile duct puncture was first described in 1996, sporadic case reports of EUS-guided biliary drainage (EUS-BD) have suggested it as an alternative to PTBD after failed ERCP. The potential benefits of EUS-BD include internal drainage, thus avoiding long-term external drainage in cases where external PTBD drainage catheters cannot be internalized. EUS-guided hepaticogastrostomy (EUS-HG) is one form of EUS-BD. This article describes the indications, techniques, and outcomes of published data on EUS-HG.
Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 88, Olympic-Ro 43 Gil, Songpa-gu, Seoul 138-736, Korea. dhpark@amc.seoul.kr
Do Hyun
DH
Park
D000714:Anastomosis, Surgical / Q000379:methods; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D002779:Cholestasis / Q000601:surgery; D004322:Drainage / Q000379:methods*; D019160:Endosonography; D006801:Humans; D015607:Stents; D013270:Stomach / Q000601:surgery*; D018084:Ultrasonography, Interventional / Q000379:methods*