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Pancreatobiliary drainage using the EUS‐FNA technique: EUS‐BD and EUS‐PD
Author(s) -
Irisawa Atsushi,
Hikichi Takuto,
Shibukawa Goro,
Takagi Tadayuki,
Wakatsuki Takeru,
Takahashi Yuta,
Imamura Hidemichi,
Sato Ai,
Sato Masaki,
Ikeda Tsunehiko,
Suzuki Rei,
Obara Katsutoshi,
Ohira Hiromasa
Publication year - 2009
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-009-0131-5
Subject(s) - medicine , percutaneous , drainage , endoscopic ultrasound , radiology , biliary drainage , endoscopic ultrasonography , anastomosis , endoscopy , surgery , ecology , biology
The recent progression of endoscopic ultrasonography (EUS) enables EUS‐guided transmural drainage based on the EUS‐guided fine‐needle aspiration biopsy technique. Prior to the development of EUS‐guided drainage procedures, the options for treating obstruction of the pancreatobiliary system included surgical drainage, percutaneous drainage using ultrasound and radiological guidance, and endoscopic (non EUS‐guidance) transmural drainage. Today, using EUS guidance and dedicated accessories, it is possible to create bilio‐ or pancreato‐digestive anastomosis, EUS‐guided biliary drainage (EUS‐BD), and EUS‐guided pancreatic drainage (EUS‐PD). The recent literature describes that EUS‐BD and EUS‐PD have acceptable success and complication rates. These procedures are anticipated for use as alternatives to surgery or percutaneous drainage when endoscopic transpapillary procedures fail.