Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy
Endoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of therapy for pancreatobiliary diseases. While ERCP is safe and highly effective in the general population, the procedure remains challenging or impossible in patients with surgically altered anatomy (SAA). Endoscopic ult...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2016-11-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2016-144.pdf |
| _version_ | 1797642601544810496 |
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| author | Pichamol Jirapinyo Linda S. Lee |
| author_facet | Pichamol Jirapinyo Linda S. Lee |
| author_sort | Pichamol Jirapinyo |
| collection | DOAJ |
| description | Endoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of therapy for pancreatobiliary diseases. While ERCP is safe and highly effective in the general population, the procedure remains challenging or impossible in patients with surgically altered anatomy (SAA). Endoscopic ultrasound (EUS) allows transmural access to the bile or pancreatic duct (PD) prior to ductal drainage using ERCP-based techniques. Also known as endosonography-guided cholangiopancreatography (ESCP), the procedure provides multiple advantages over overtube-assisted enteroscopy ERCP or percutaneous or surgical approaches. However, the procedure should only be performed by endoscopists experienced in both EUS and ERCP and with the proper tools. In this review, various EUS-guided diagnostic and therapeutic drainage techniques in patients with SAA are examined. Detailed step-by-step procedural descriptions, technical tips, feasibility, and safety data are also discussed. |
| first_indexed | 2024-03-11T14:02:21Z |
| format | Article |
| id | doaj.art-c4bf106fa6a74b7f94755a4ed2e3dee9 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T14:02:21Z |
| publishDate | 2016-11-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-c4bf106fa6a74b7f94755a4ed2e3dee92023-11-02T04:08:24ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-11-0149651552910.5946/ce.2016.1446940Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered AnatomyPichamol JirapinyoLinda S. LeeEndoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of therapy for pancreatobiliary diseases. While ERCP is safe and highly effective in the general population, the procedure remains challenging or impossible in patients with surgically altered anatomy (SAA). Endoscopic ultrasound (EUS) allows transmural access to the bile or pancreatic duct (PD) prior to ductal drainage using ERCP-based techniques. Also known as endosonography-guided cholangiopancreatography (ESCP), the procedure provides multiple advantages over overtube-assisted enteroscopy ERCP or percutaneous or surgical approaches. However, the procedure should only be performed by endoscopists experienced in both EUS and ERCP and with the proper tools. In this review, various EUS-guided diagnostic and therapeutic drainage techniques in patients with SAA are examined. Detailed step-by-step procedural descriptions, technical tips, feasibility, and safety data are also discussed.http://www.e-ce.org/upload/pdf/ce-2016-144.pdfEndoscopic ultrasoundSurgically altered anatomyRendezvousAntegrade drainageTransmural drainage |
| spellingShingle | Pichamol Jirapinyo Linda S. Lee Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy Clinical Endoscopy Endoscopic ultrasound Surgically altered anatomy Rendezvous Antegrade drainage Transmural drainage |
| title | Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy |
| title_full | Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy |
| title_fullStr | Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy |
| title_full_unstemmed | Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy |
| title_short | Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy |
| title_sort | endoscopic ultrasound guided pancreatobiliary endoscopy in surgically altered anatomy |
| topic | Endoscopic ultrasound Surgically altered anatomy Rendezvous Antegrade drainage Transmural drainage |
| url | http://www.e-ce.org/upload/pdf/ce-2016-144.pdf |
| work_keys_str_mv | AT pichamoljirapinyo endoscopicultrasoundguidedpancreatobiliaryendoscopyinsurgicallyalteredanatomy AT lindaslee endoscopicultrasoundguidedpancreatobiliaryendoscopyinsurgicallyalteredanatomy |