Advances in Endoscopic Ultrasound-Guided Biliary Drainage: A Comprehensive Review

被引:38
作者
Sarkaria, Savreet [1 ]
Lee, Ho-Su [1 ]
Gaidhane, Monica [1 ]
Kahaleh, Michel [1 ]
机构
[1] Weill Cornell Med Coll, Dept Med, Div Gastroenterol & Hepatol, New York, NY 10021 USA
关键词
Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasound; Self expanding metal stent; CASE SERIES; BILE-DUCT; OBSTRUCTION; ERCP; CHOLEDOCHODUODENOSTOMY; CHOLANGIOGRAPHY; STENT; CHOLANGIOPANCREATOGRAPHY; SUCCESS;
D O I
10.5009/gnl.2013.7.2.129
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic retrograde cholangiopancreatography (ERCP) has become the first-line therapy for bile duct drainage. In the hands of experienced endoscopists, conventional ERCP results in a failed cannulation rate of 3% to 5%. This failure can occur more commonly in the setting of altered anatomy or technically difficult cases due to either duodenal or biliary obstruction. In cases of ERCP failure, patients have traditionally been referred for either percutaneous transhepatic biliary drainage (PTBD) or surgery. However, both PTBD and surgery have higher than desirable complication rates. Within the last decade, endoscopic ultrasound-guided biliary drainage (EUS-BD) has become an attractive alternative to PTBD after failed ERCP. Many groups have reported on the feasibility, efficacy and safety of this technique. This article reviews the indications for ERCP and the currently practiced EUS-BD techniques, including EUS-guided rendezvous, EUS-guided choledochoduodenostomy and EUS-guided hepaticogastrostomy. (Gut Liver 2013;7:129-136)
引用
收藏
页码:129 / 136
页数:8
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