Open AccessEndoscopic ultrasound guided biliary and pancreatic duct interventions
Author(s) -
David Prichard,
Michael F. Byrne
Publication year - 2014
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v6.i11.513
Subject(s) - medicine , percutaneous , endoscopic ultrasound , pancreatic duct , radiology , endoscopic retrograde cholangiopancreatography , psychological intervention , bile duct , complication , ultrasound , surgery , general surgery , pancreatitis , psychiatry
When endoscopic retrograde cholangio-pancreatography fails to decompress the pancreatic or biliary system, alternative interventions are required. In this situation, endosonography guided cholangio-pancreatography (ESCP), percutaneous radiological therapy or surgery can be considered. Small case series reporting the initial experience with ESCP have been superseded by comprehensive reports of large cohorts. Although these reports are predominantly retrospective, they demonstrate that endoscopic ultrasound (EUS) guided biliary and pancreatic interventions are associated with high levels of technical and clinical success. The procedural complication rates are lower than those seen with percutaneous therapy or surgery. This article describes and discusses data published in the last five years relating to EUS-guided biliary and pancreatic intervention.