Endoscopic ultrasound-guided drainage of the biliary system:Techniques,indications and future perspectives

• 作者: David J Tate Helena Degroote Pierre H Deprez Pieter Hindryckx
• 来源期刊: 世界胃肠内镜杂志:英文版(电子版)
• 学科: 医学
• 关键词: ENDOSCOPIC ultrasound ENDOSCOPIC RETROGRADE cholangiopancreaticography BILIARY drainage Rendez-vous Hepaticogastrostomy CHOLEDOCHODUODENOSTOMY
• 年，卷（期）: 2019,（2）
• 页码范围: 103-114
• 页数: 12页
• 分类号: R

摘要

Over the last decade,endoscopic ultrasound-guided biliary drainage(EUS-BD)has evolved into a widely accepted alternative to the percutaneous approach in cases of biliary obstruction with failed endoscopic retrograde cholangiopancreaticography(ERCP).The available evidence suggests that,in experienced hands,EUS-BD might even replace ERCP as the first-line procedure in specific situations such as malignant distal bile duct obstruction.The aim of this review is to summarize the available data on EUS-BD and propose an evidence-based algorithm clarifies the role of the different EUS-BD techniques in the management of benign and malignant biliary obstructive disease.