Endoscopic ultrasound guided biliary and pancreatic duct interventions.
When endoscopic retrograde cholangio-pancreatography fails to decompress the pancreatic or biliary system, alternative interventions are required. In this situation, endosonography guided cholangio-pancreatography (ESCP), percutaneous radiological therapy or surgery can be considered. Small case series reporting the initial experience with ESCP have been superseded by comprehensive reports of large cohorts. Although these reports are predominantly retrospective, they demonstrate that endoscopic ultrasound (EUS) guided biliary and pancreatic interventions are associated with high levels of technical and clinical success. The procedural complication rates are lower than those seen with percutaneous therapy or surgery. This article describes and discusses data published in the last five years relating to EUS-guided biliary and pancreatic intervention.
David Prichard, Advanced and Therapeutic Endoscopy, Vancouver General Hospital, University of British Columbia, Vancouver V5Z 1M9, Canada.
David
D
Prichard
David Prichard, Advanced and Therapeutic Endoscopy, Vancouver General Hospital, University of British Columbia, Vancouver V5Z 1M9, Canada.
Michael F
MF
Byrne
Bile duct; Biliary drainage; Endoscopic retrograde cholangio-pancreatography; Endoscopic ultrasound; Pancreatic drainage; Pancreatic duct; Percutaneous transhepatic cholangiography