Open AccessEndoscopic ultrasound-guided biliary drainage: A change in paradigm?
Author(s) -
En–Ling Leung Ki,
Bertrand Napoléon
Publication year - 2019
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v11.i5.345
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , biliary drainage , endoscopic ultrasound , radiology , percutaneous , drainage , general surgery , surgery , pancreatitis , ecology , biology
Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been developed as an alternative means of biliary drainage for malignant biliary obstruction (MBO). Compared to percutaneous transhepatic biliary drainage, EUS-BD offers effective internal drainage in a single session in the event of failed endoscopic retrograde cholangiopancreatography and has fewer adverse events (AE). In choosing which technique to use for EUS-BD, a combination of factors appears to be important in decision-making; technical expertise, the risk of AE, and anatomy. With the advent of novel all-in-one EUS-BD specific devices enabling simpler and safer techniques, as well as the growing experience and training of endosonographers, EUS-BD may potentially become a first-line technique in biliary drainage for MBO.