When ERCP Fails: EUS-Guided Access to Biliary and Pancreatic Ducts

被引：12

作者：

Abdelqader, Abdelhai ^{[1
]}

Kahaleh, Michel ^{[1
]}

机构：

[1] Rutgers Robert Wood Johnson Univ Hosp, Div Gastroenterol, 1 RWJ Pl,MEB 464, New Brunswick, NJ 08901 USA

来源：

DIGESTIVE DISEASES AND SCIENCES | 2022年 / 67卷 / 05期

关键词：

Failed ERCP; EUS; Biliary drainage; Pancreatic drainage; Altered anatomy; Y GASTRIC BYPASS; DIRECTED TRANSGASTRIC ERCP; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; APPOSING METAL STENTS; INTERNATIONAL MULTICENTER; ASSISTED ERCP; DRAINAGE; OBSTRUCTION; ANATOMY; EDGE;

D O I：

10.1007/s10620-022-07423-w

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Pancreaticobiliary (PB) endotherapy continues to progress in the era of therapeutic endosonography. Endoscopic retrograde cholangiopancreatography (ERCP) remains the primary method for PB access in native and altered anatomy. In altered anatomy, PB access can be obtained via enteroscopy-assisted ERCP (e-ERCP) or laparoscopy-assisted ERCP; however, both approaches have significant limitations. Endoscopic ultrasound-guided biliary and pancreatic duct drainage (EUS-BPD) are increasingly becoming the preferred alternative when ERCP fails, with advantages over percutaneous drainage. EUS-BPD continues to evolve with better feasibility, safety and efficacy as dedicated procedural equipment continues to improve. In this article, we discuss the role of endoscopic ultrasound (EUS) when ERCP fails and their indications, technique, and outcomes.

引用

页码：1649 / 1659

页数：11

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