title: Endoscopic ultrasound-guided pancreaticobiliary intervention in patients with surgically altered anatomy and inaccessible papillae: A review of current literature.
abstract: The management of pancreaticobiliary disease in patients with surgically altered anatomy is a growing problem for gastroenterologists today. Over the years, endoscopic ultrasound (EUS) has emerged as an important diagnostic and therapeutic modality in the treatment of pancreaticobiliary disease. Patient anatomy has become increasingly complex due to advances in surgical resection of pancreaticobiliary disease and EUS has emerged as the therapy of choice when endoscopic retrograde cholangiopancreatography failed cannulation or when the papilla is inaccessible such as in gastric obstruction or duodenal obstruction. The current article gives a comprehensive review of the current literature for EUS-guided intervention of the pancreaticobiliary tract in patients with altered surgical anatomy.
authors.affiliation: Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Aaron
authors.initials: A
authors.lastname: Martin
authors.affiliation: Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Charles Andrew
authors.initials: CA
authors.lastname: Kistler
authors.affiliation: Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Piotr
authors.initials: P
authors.lastname: Wrobel
authors.affiliation: Division of Gastroenterology and Hepatology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Juliana F
authors.initials: JF
authors.lastname: Yang
authors.affiliation: Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Ali A
authors.initials: AA
authors.lastname: Siddiqui
keywords: Biliary tract; endosonography; major pancreatic duct; surgically altered anatomy