Oct 7, 2009

Endoscopic ultrasonography-guided biliary drainage

Journal of Hepato-biliary-pancreatic Sciences
Takao ItoiAkihiko Tsuchida

Abstract

Endoscopic ultrasonography-guided biliary drainage (EUS-BD) has been developed as an alternative drainage method in patients with obstructive jaundice. EUS-BD is divided into EUS-guided choledochoduodenostomy (EUS-CDS), EUS-guided hepaticogastrostomy (EUS-HGS) and EUS-guided gallbladder drainage (EUS-GBD). The aim of this review is to focus on the current status and limitations of EUS-BD. A systematic review was performed to evaluate EUS-BD. MEDLINE, EMBASE and manual searches were performed to identify the pertinent English language full articles. The high success rate without fatal adverse events for EUS-CDS (93%; 28/30) and EUS-HGS (97%; 28/29) suggest the feasibility and safety of the procedures in high-volume endoscopic centers adopting various procedural techniques. Although the number of reported cases was very small, the success rate of EUS-GBD was high (100%; 14/14), without serious adverse events. Although all procedures require further assessment in a larger cohort of patients, including comparative studies between EUS-CDS or EUS-HGS versus PTBD, and EUS-GBD versus PTGBD, EUS-BD may be a promising procedure for the treatment of obstructive jaundice. However, dedicated devices for EUS-guided drainage are needed for re...Continue Reading

  • References22
  • Citations25

References

  • References22
  • Citations25

Citations

Mentioned in this Paper

Endoscopy (Procedure)
perfluoro-2,2,2',2'-tetramethyl-4,4'-bis(1,3-dioxolane)
Jaundice, Obstructive
Choledochostomy
Gallbladder (Mmhcc)
Adverse Event
Endoscopic Ultrasound
Bile Duct Structure
Reproducibility of Results
Behcet Syndrome

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