Endoscopic ultrasound-guided choledochoduodenostomy for malignant lower biliary tract obstruction.
Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) is a novel alternative to percutaneous transhepatic biliary drainage, when endoscopic retrograde cholangiopancreatography is unsuccessful in patients with malignant lower biliary obstruction. Some case series and a few prospective studies of EUS-CDS have reported high technical and functional success rates but with the downside of high early complication rates, albeit mostly nonsevere. In addition, the stents placed by EUS-CDS had a longer patency than transpapillary biliary stents.
Department of Gastroenterology, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-Ku, Nagoya 464-8681, Japan. kyamao@aichi-cc.jp
Kenji
K
Yamao
Kazuo
K
Hara
Nobumasa
N
Mizuno
Susumu
S
Hijioka
Hiroshi
H
Imaoka
Vikram
V
Bhatia
Yasuhiro
Y
Shimizu
D002768:Choledochostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002779:Cholestasis / Q000209:etiology / Q000628:therapy*; D004067:Digestive System Neoplasms / Q000150:complications*; D019160:Endosonography; D006801:Humans; D015607:Stents; D018084:Ultrasonography, Interventional / Q000379:methods*