Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction

Endoscopic retrograde cholangiopancreatography is the standard therapeutic approach for malignant distal biliary obstruction (MDBO). However, it can be challenging in patients with surgically altered anatomy, pyloric/duodenal obstruction, or failed biliary cannulation. Since the development of endos...

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Main Author: Dong Kee Jang
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2022-07-01
Series:International Journal of Gastrointestinal Intervention
Subjects:
Online Access:http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii220022
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author Dong Kee Jang
author_facet Dong Kee Jang
author_sort Dong Kee Jang
collection DOAJ
description Endoscopic retrograde cholangiopancreatography is the standard therapeutic approach for malignant distal biliary obstruction (MDBO). However, it can be challenging in patients with surgically altered anatomy, pyloric/duodenal obstruction, or failed biliary cannulation. Since the development of endoscopic ultrasound (EUS), EUS-guided biliary drainage (EUS-BD) has been increasingly performed. The current article provides a concise review of the latest practices and techniques of EUS-BD procedures for MDBO including EUS-assisted rendezvous, EUS-guided antegrade stenting, EUS-guided choledochoduodenostomy, and EUS-guided hepaticogastrostomy.
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spelling doaj.art-802c52e70df745198fbd317477bc16f52022-12-22T02:06:00ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042022-07-0111310210410.18528/ijgii220022ijgii220022Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstructionDong Kee Jang0Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine, Seoul, KoreaEndoscopic retrograde cholangiopancreatography is the standard therapeutic approach for malignant distal biliary obstruction (MDBO). However, it can be challenging in patients with surgically altered anatomy, pyloric/duodenal obstruction, or failed biliary cannulation. Since the development of endoscopic ultrasound (EUS), EUS-guided biliary drainage (EUS-BD) has been increasingly performed. The current article provides a concise review of the latest practices and techniques of EUS-BD procedures for MDBO including EUS-assisted rendezvous, EUS-guided antegrade stenting, EUS-guided choledochoduodenostomy, and EUS-guided hepaticogastrostomy.http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii220022cholestasisextrahepatic; drainage; endoscopic retrograde cholangiopancreatography; endosonography
spellingShingle Dong Kee Jang
Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction
International Journal of Gastrointestinal Intervention
cholestasis
extrahepatic; drainage; endoscopic retrograde cholangiopancreatography; endosonography
title Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction
title_full Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction
title_fullStr Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction
title_full_unstemmed Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction
title_short Endoscopic ultrasound-guided biliary drainage in malignant distal biliary obstruction
title_sort endoscopic ultrasound guided biliary drainage in malignant distal biliary obstruction
topic cholestasis
extrahepatic; drainage; endoscopic retrograde cholangiopancreatography; endosonography
url http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii220022
work_keys_str_mv AT dongkeejang endoscopicultrasoundguidedbiliarydrainageinmalignantdistalbiliaryobstruction