Open AccessEndoscopic ultrasound-guided vs endoscopic retrograde cholangiopancreatography biliary drainage for obstructed distal malignant biliary strictures: A systematic review and meta-analysis
Author(s) -
Fernanda P. Logiudice,
Wanderlei M. Bernardo,
Facundo Galetti,
Vitor Massaro Takamatsu Sagae,
Carolina O. Matsubayashi,
Antônio Martins Figueiredo Neto,
Vítor Ottoboni Brunaldi,
Diogo Turiani Hourneaux de Moura,
Tomazo Franzini,
Spencer Cheng,
Sérgio Matuguma,
Eduardo Guimarães Hourneaux de Moura
Publication year - 2019
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v11.i4.281
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , endoscopic ultrasound , randomized controlled trial , biliary drainage , radiology , cochrane library , jadad scale , surgery , pancreatitis
For palliation of malignant biliary obstruction (MBO), the gold-standard method of biliary drainage is endoscopic retrograde cholangiopancreatography (ERCP) with the placement of metallic stents. Endoscopic ultrasound (EUS)-guided drainage is an alternative that is typically reserved for cases of ERCP failure. Recently, however, there have been robust randomized clinical trials (RCTs) comparing EUS-guided drainage and ERCP as primary approaches to MBO.