Open AccessEndoscopic ultrasonography guided drainage: Summary of consortium meeting, May 21, 2012, San Diego, California
Author(s) -
Michel Kahaleh,
Everson L. Artifon,
Manuel Pérez-Miranda,
Monica Gaidhane,
Carlos Rondón,
Takao Itoi,
Marc Giovannini
Publication year - 2015
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v21.i3.726
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , endoscopy , percutaneous , endoscopic ultrasound , biliary drainage , drainage , gallbladder , radiology , surgery , pancreatitis , ecology , biology
Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary and pancreatic drainage. While ERCP is successful in about 95% of cases, a small subset of cases are unsuccessful due to altered anatomy, peri-ampullary pathology, or malignant obstruction. Endoscopic ultrasound-guided drainage is a promising technique for biliary, pancreatic and recently gallbladder decompression, which provides multiple advantages over percutaneous or surgical biliary drainage. Multiple retrospective and some prospective studies have shown endoscopic ultrasound-guided drainage to be safe and effective. Based on the currently reported literature, regardless of the approach, the cumulative success rate is 84%-93% with an overall complication rate of 16%-35%. endoscopic ultrasound-guided drainage seems a viable therapeutic modality for failed conventional drainage when performed by highly skilled advanced endoscopists at tertiary centers with expertise in both echo-endoscopy and therapeutic endoscopy.