Endoscopic ultrasound-guided biliary drainage

被引:22
作者
Chavalitdhamrong, Disaya [1 ]
Draganov, Peter V. [1 ]
机构
[1] Univ Florida, Div Gastroenterol Hepatol & Nutr, Gainesville, FL 32610 USA
关键词
Bile duct; Biliary obstruction; Biliary drainage; Endoscopic ultrasound; Endoscopic ultrasound-guided biliary drainage; COVERED METAL STENT; BILE-DUCT; RETROGRADE CHOLANGIOPANCREATOGRAPHY; TRANSHEPATIC CHOLANGIOGRAPHY; FAILED ERCP; CASE SERIES; OBSTRUCTION; CHOLEDOCHODUODENOSTOMY; PLACEMENT; HEPATICOGASTROSTOMY;
D O I
10.3748/wjg.v18.i6.491
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic ultrasound (EUS)-guided biliary drainage has emerged as a minimally invasive alternative to percutaneous and surgical interventions for patients with biliary obstruction who had failed endoscopic retrograde cholangiopancreatography (ERCP). EUS-guided biliary drainage has become feasible due to the development of large channel curvilinear therapeutic echo-endoscopes and the use of real-time ultrasound and fluoroscopy imaging in addition to standard ERCP devices and techniques. EUS-guided biliary drainage is an attractive option because of its minimally invasive, single step procedure which provides internal biliary decompression. Multiple investigators have reported high success and low complication rates. Unfortunately, high quality prospective data are still lacking. We provide detailed review of the use of EUS for biliary drainage from the perspective of practicing endoscopists with specific focus on the technical aspects of the procedure. (C) 2012 Baishideng. All rights reserved.
引用
收藏
页码:491 / 497
页数:7
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