Endoscopic ultrasound-guided biliary drainage: a review.
Endoscopic retrograde cholangiography (ERCP) is widely used as a first-line therapy for biliary drainage. ERCP occasionally fails owing to anatomical or technical problems, despite high reported success rates. Endoscopic ultrasound-guided biliary drainage (EUS-BD) has recently emerged as an effective alternative biliary drainage method after unsuccessful ERCP. EUS-BD can be essentially divided into 3 different techniques-(1) EUS-guided transluminal biliary drainage including choledocoduodenostomy and hepaticogastrostomy, (2) EUS-rendezvous technique, and (3) EUS-antegrade approach. Here, we focus on the current status of EUS-BD in light of these 3 different techniques.
First Department of Internal Medicine, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194 Japan.
Takuji
T
Iwashita
First Department of Internal Medicine, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194 Japan.
Shinpei
S
Doi
First Department of Internal Medicine, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194 Japan.
Ichiro
I
Yasuda
D002779:Cholestasis / Q000000981:diagnostic imaging* / Q000601:surgery*; D003663:Decision Trees; D004322:Drainage / Q000379:methods*; D019160:Endosonography; D006801:Humans; D018084:Ultrasonography, Interventional
Antegrade; Biliary drainage; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasound; Rendezvous