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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 5/2022

04-04-2022 | Endoscopic Retrograde Cholangiopancreatography | Review

When ERCP Fails: EUS-Guided Access to Biliary and Pancreatic Ducts

Authors: Abdelhai Abdelqader, Michel Kahaleh

Published in: Digestive Diseases and Sciences | Issue 5/2022

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Abstract

Pancreaticobiliary (PB) endotherapy continues to progress in the era of therapeutic endosonography. Endoscopic retrograde cholangiopancreatography (ERCP) remains the primary method for PB access in native and altered anatomy. In altered anatomy, PB access can be obtained via enteroscopy-assisted ERCP (e-ERCP) or laparoscopy-assisted ERCP; however, both approaches have significant limitations. Endoscopic ultrasound-guided biliary and pancreatic duct drainage (EUS-BPD) are increasingly becoming the preferred alternative when ERCP fails, with advantages over percutaneous drainage. EUS-BPD continues to evolve with better feasibility, safety and efficacy as dedicated procedural equipment continues to improve. In this article, we discuss the role of endoscopic ultrasound (EUS) when ERCP fails and their indications, technique, and outcomes.
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Metadata
Title
When ERCP Fails: EUS-Guided Access to Biliary and Pancreatic Ducts
Authors
Abdelhai Abdelqader
Michel Kahaleh
Publication date
04-04-2022
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 5/2022
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-022-07423-w

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