Endoscopic ultrasound (EUS)-guided biliary drainage has emerged as a minimally invasive alternative to percutaneous and surgical interventions ffor patients with biliary obstruction who had ffailed endoscopic retrograde cholangiopancreatography (ERCP). EUS-guided biliary drainage has become ffeasible due to the development off large channel curvilinear therapeutic echo-endoscopes and the use off real-time ultrasound and fluoroscopy imaging in addition to standard ERCP devices and techniques. EUS-guided biliary drainage is an attractive option because off its minimally invasive, single step procedure which provides internal biliary decompression.MMultiple investigators have reported high success and low complication rates. Unffortunately, high quality prospective data are still lacking. We provide detailed review off the use off EUS ffor biliary drainage ffrom the perspective of practicing endoscopists with specific ffocus on the technical aspects off the procedure.
Bile ductBiliary obstructionBiliarydrainageBiliarydrainageBiliary drainageEndoscopic ultrasoundEndoscopicultrasound-guidedguided Endoscopic ultrasound-biliary drainage
Disaya Chavalitdhamrong、Peter V Draganov
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Disaya Chavalitdhamrong, Peter V Draganov, Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL 32610-0214, United States
NETL
NSTL
万方数据
维普
