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Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-09-2010 | Topics

Endoscopic ultrasonography-guided biliary drainage

Authors: Takao Itoi, Atsushi Sofuni, Fumihide Itokawa, Takayoshi Tsuchiya, Toshio Kurihara, Kentaro Ishii, Shujiro Tsuji, Nobuhito Ikeuchi, Junko Umeda, Fuminori Moriyasu, Akihiko Tsuchida

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 5/2010

Abstract

Background and purpose

Endoscopic ultrasonography-guided biliary drainage (EUS-BD) has been developed as an alternative drainage method in patients with obstructive jaundice. EUS-BD is divided into EUS-guided choledochoduodenostomy (EUS-CDS), EUS-guided hepaticogastrostomy (EUS-HGS) and EUS-guided gallbladder drainage (EUS-GBD). The aim of this review is to focus on the current status and limitations of EUS-BD.

Methods

A systematic review was performed to evaluate EUS-BD. MEDLINE, EMBASE and manual searches were performed to identify the pertinent English language full articles.

Results

The high success rate without fatal adverse events for EUS-CDS (93%; 28/30) and EUS-HGS (97%; 28/29) suggest the feasibility and safety of the procedures in high-volume endoscopic centers adopting various procedural techniques. Although the number of reported cases was very small, the success rate of EUS-GBD was high (100%; 14/14), without serious adverse events.

Conclusions

Although all procedures require further assessment in a larger cohort of patients, including comparative studies between EUS-CDS or EUS-HGS versus PTBD, and EUS-GBD versus PTGBD, EUS-BD may be a promising procedure for the treatment of obstructive jaundice. However, dedicated devices for EUS-guided drainage are needed for reliable procedures.

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Title: Endoscopic ultrasonography-guided biliary drainage
Authors: Takao Itoi
Atsushi Sofuni
Fumihide Itokawa
Takayoshi Tsuchiya
Toshio Kurihara
Kentaro Ishii
Shujiro Tsuji
Nobuhito Ikeuchi
Junko Umeda
Fuminori Moriyasu
Akihiko Tsuchida
Publication date: 01-09-2010
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 5/2010
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-009-0196-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Endoscopic ultrasonography-guided biliary drainage

Abstract

Background and purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and purpose

Methods

Results

Conclusions

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