Endoscopic ultrasound-guided biliary drainage: A change in paradigm?

World J Gastrointest Endosc

Department of Gastroenterology, Jean Mermoz Private Hospital, 55 avenue Jean Mermoz, Lyon 69008, France.

Published: May 2019

AI Article Synopsis

  • Endoscopic ultrasound-guided biliary drainage (EUS-BD) is a newer method for treating malignant biliary obstruction (MBO) and can be an effective alternative to traditional methods.
  • EUS-BD allows for effective internal drainage in a single session and is associated with fewer adverse events compared to percutaneous transhepatic biliary drainage, especially after failed standard procedures.
  • The choice of EUS-BD techniques depends on factors like the expertise of the medical professional, the risk of complications, and patient anatomy, and advancements in technology may soon position EUS-BD as a primary option for biliary drainage in MBO cases.

Article Abstract

Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been developed as an alternative means of biliary drainage for malignant biliary obstruction (MBO). Compared to percutaneous transhepatic biliary drainage, EUS-BD offers effective internal drainage in a single session in the event of failed endoscopic retrograde cholangiopancreatography and has fewer adverse events (AE). In choosing which technique to use for EUS-BD, a combination of factors appears to be important in decision-making; technical expertise, the risk of AE, and anatomy. With the advent of novel all-in-one EUS-BD specific devices enabling simpler and safer techniques, as well as the growing experience and training of endosonographers, EUS-BD may potentially become a first-line technique in biliary drainage for MBO.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556485PMC
http://dx.doi.org/10.4253/wjge.v11.i5.345DOI Listing

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