title: Endoscopic ultrasonography guided drainage: summary of consortium meeting, May 21, 2012, San Diego, California.
abstract: Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary and pancreatic drainage. While ERCP is successful in about 95% of cases, a small subset of cases are unsuccessful due to altered anatomy, peri-ampullary pathology, or malignant obstruction. Endoscopic ultrasound-guided drainage is a promising technique for biliary, pancreatic and recently gallbladder decompression, which provides multiple advantages over percutaneous or surgical biliary drainage. Multiple retrospective and some prospective studies have shown endoscopic ultrasound-guided drainage to be safe and effective. Based on the currently reported literature, regardless of the approach, the cumulative success rate is 84%-93% with an overall complication rate of 16%-35%. endoscopic ultrasound-guided drainage seems a viable therapeutic modality for failed conventional drainage when performed by highly skilled advanced endoscopists at tertiary centers with expertise in both echo-endoscopy and therapeutic endoscopy.
authors.affiliation: Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States.
authors.forename: Michel
authors.initials: M
authors.lastname: Kahaleh
authors.affiliation: Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States.
authors.forename: Everson L A
authors.initials: EL
authors.lastname: Artifon
authors.affiliation: Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States.
authors.forename: Manuel
authors.initials: M
authors.lastname: Perez-Miranda
authors.affiliation: Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States.
authors.forename: Monica
authors.initials: M
authors.lastname: Gaidhane
authors.affiliation: Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States.
authors.forename: Carlos
authors.initials: C
authors.lastname: Rondon
authors.affiliation: Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States.
authors.forename: Takao
authors.initials: T
authors.lastname: Itoi
authors.affiliation: Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States.
authors.forename: Marc
authors.initials: M
authors.lastname: Giovannini
mesh_terms: D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002768:Choledochostomy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D003664:Decompression / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D004322:Drainage / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D019160:Endosonography / Q000592:standards; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D006801:Humans; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D017410:Practice Guidelines as Topic; D011237:Predictive Value of Tests; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000592:standards
keywords: Biliary drainage; Consortium; Endoscopic ultrasound; Endoscopic ultrasound-guided; Endoscopic ultrasound-guided biliary drainage; Pancreatic drainage