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Journal of Hepato-Biliary-Pancreatic Sciences

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01-05-2011 | Topics

Endoscopic ultrasound-guided anterograde cholangiopancreatography

Authors: Kenneth F. Binmoeller, Thai Nguyen-Tang

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 3/2011

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) may fail in 10–15% of cases. A growing percentage of such cases are due to the inaccessible papilla after gastric bypass surgery for the treatment of obesity. Endoscopic ultrasonography (EUS) offers an alternative route of access to the bile and pancreatic ducts. Using the curved linear array echoendoscope, access to the bile and pancreatic ducts is possible under real-time EUS guidance. The route of access is ‘anterograde’, in contrast to the ‘retrograde’ approach of ERCP. We have coined the term “EUS-guided anterograde cholangiopancreatography (EACP)” to cover the spectrum of EUS-guided techniques for accessing and draining the bile and pancreatic ducts. These techniques are reviewed in this paper. The literature has validated the feasibility of EACP but complication rates have been high; the safety profile of EACP must improve. This will require tools, designed for EUS-guided applications, that enable safer transenteric access and drainage.

Carr-Locke DL. Overview of the role of ERCP in the management of diseases of the biliary tract and the pancreas. Gastrointest Endosc. 2002;56:S157–60.PubMedCrossRef

Winick AB, Waybill PN, Venbrux AC. Complications of percutaneous transhepatic biliary interventions. Tech Vasc Interv Radiol. 2001;4:200–6.PubMedCrossRef

Smith AC, Dowsett JF, Russell RC, Hatfield AR, Cotton PB. Randomised trial of endoscopic stenting versus surgical bypass in malignant low bile duct obstruction. Lancet. 1994;344:1655–60.PubMedCrossRef

Wiersema MJ, Sandusky D, Carr R, et al. Endosonography-guided cholangiopancreatography. Gastrointest Endosc. 1996;43:102–6.PubMedCrossRef

Bories E, Pesenti C, Caillol F, Lopes C, Giovannini M. Transgastric endoscopic ultrasonography-guided biliary drainage: results of a pilot study. Endoscopy. 2007;39:287–91.PubMedCrossRef

Dowsett JF, Vaira D, Hatfield AR, et al. Endoscopic biliary therapy using the combined percutaneous and endoscopic technique. Gastroenterology. 1989;96:1180–6.PubMed

Tessier G, Bories E, Arvanitakis M, et al. EUS-guided pancreatogastrostomy and pancreatobulbostomy for the treatment of pain in patients with pancreatic ductal dilatation inaccessible for transpapillary endoscopic therapy. Gastrointest Endosc. 2007;65:233–41.PubMedCrossRef

Stoker J, Lameris JS, van Blankenstein M. Percutaneous metallic self-expandable endoprostheses in malignant hilar biliary obstruction. Gastrointest Endosc. 1993;39:43–9.PubMedCrossRef

Becker CD, Glattli A, Maibach R, Baer HU. Percutaneous palliation of malignant obstructive jaundice with the wallstent endoprosthesis: Follow-up and reintervention in patients with hilar and non-hilar obstruction. J Vasc Interv Radiol. 1993;4:597–604.PubMedCrossRef

10.

Nguyen-Tang T, Binmoeller KF, Sanchez-Yague A, Shah NJ. Endoscopic ultrasound (EUS)-guided anterograde self-expandable metal stent (SEMS) placement across malignant biliary obstruction. Endoscopy. 2010;42:232–6.PubMedCrossRef

11.

Puspok A, Lomoschitz F, Dejaco C, et al. Endoscopic ultrasound guided therapy of benign and malignant biliary obstruction: a case series. Am J Gastroenterol. 2005;100:1743–7.PubMedCrossRef

12.

Bataille L, Deprez P. A new application for therapeutic EUS: main pancreatic duct drainage with a “pancreatic rendezvous technique”. Gastrointest Endosc. 2002;55:740–3.PubMedCrossRef

13.

Mallery S, Matlock J, Freeman ML. EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: report of 6 cases. Gastrointest Endosc. 2004;59:100–7.PubMedCrossRef

14.

Kahaleh M, Yoshida C, Kane L, Yeaton P. Interventional EUS cholangiography: a report of five cases. Gastrointest Endosc. 2004;60:138–42.PubMedCrossRef

15.

Will U, Meyer F, Manger T, Wanzar I. Endoscopic ultrasound-assisted rendezvous maneuver to achieve pancreatic duct drainage in obstructive chronic pancreatitis. Endoscopy. 2005;37:171–3.PubMedCrossRef

16.

Kahaleh M, Wang P, Shami VM, Tokar J, Yeaton P. EUS-guided transhepatic cholangiography: report of 6 cases. Gastrointest Endosc. 2005;61:307–13.PubMedCrossRef

17.

Kahaleh M, Hernandez AJ, Tokar J, et al. Interventional EUS-guided cholangiography: evaluation of a technique in evolution. Gastrointest Endosc. 2006;64:52–9.PubMedCrossRef

18.

Tarantino I, Barresi L, Repici A, Traina M. EUS-guided biliary drainage: a case series. Endoscopy. 2008;40:336–9.PubMedCrossRef

19.

Brauer BC, Chen YK, Fukami N, Shah RJ. Single-operator EUS-guided cholangiopancreatography for difficult pancreaticobiliary access (with video). Gastrointest Endosc. 2009;70:471–9.PubMedCrossRef

20.

Maranki J, Hernandez AJ, Arslan B, et al. Interventional endoscopic ultrasound-guided cholangiography: long-term experience of an emerging alternative to percutaneous transhepatic cholangiography. Endoscopy. 2009;41:532–8.PubMedCrossRef

21.

Nguyen-Tang T, Binmoeller KF, Sanchez-Yague A, Shah NJ. Endoscopic ultrasound (EUS)-guided endoscopic anterograde cholangiopancreatography (EACP) with anterograde interventions. Gastrointest Endosc. 2009;69:AB339.CrossRef

22.

Nguyen-Tang T, Binmoeller KF, Sanchez-Yague A, Shah NJ. Single-operator, single-session endoscopic ultrasound guided rendezvous in failed ERCP. Gastrointest Endosc. 2009;69:AB266.CrossRef

23.

Burmester E, Niehaus J, Leineweber T, Huetteroth T. EUS-cholangio-drainage of the bile duct: report of 4 cases. Gastrointest Endosc. 2003;57:246–51.PubMedCrossRef

24.

Giovannini M, Dotti M, Bories E, et al. Hepaticogastrostomy by echo-endoscopy as a palliative treatment in a patient with metastatic biliary obstruction. Endoscopy. 2003;35:1076–8.PubMedCrossRef

25.

Artifon EL, Chaves DM, Ishioka S, et al. Echoguided hepatico-gastrostomy: a case report. Clinics (Sao Paulo). 2007;62:799–802.

26.

Will U, Thieme A, Fueldner F, et al. Treatment of biliary obstruction in selected patients by endoscopic ultrasonography (EUS)-guided transluminal biliary drainage. Endoscopy. 2007;39:292–5.PubMedCrossRef

27.

Giovannini M, Moutardier V, Pesenti C, et al. Endoscopic ultrasound-guided bilioduodenal anastomosis: a new technique for biliary drainage. Endoscopy. 2001;33:898–900.PubMedCrossRef

28.

Fujita N, Noda Y, Kobayashi G, et al. Histological changes at an endosonography-guided biliary drainage site: a case report. World J Gastroenterol. 2007;13:5512–5.PubMed

29.

Ang TL, Teo EK, Fock KM. EUS-guided transduodenal biliary drainage in unresectable pancreatic cancer with obstructive jaundice. JOP. 2007;8:438–43.PubMed

30.

Yamao K, Bhatia V, Mizuno N, et al. EUS-guided choledochoduodenostomy for palliative biliary drainage in patients with malignant biliary obstruction: results of long-term follow-up. Endoscopy. 2008;40:340–2.PubMedCrossRef

31.

Itoi T, Itokawa F, Sofuni A, et al. Endoscopic ultrasound-guided choledochoduodenostomy in patients with failed endoscopic retrograde cholangiopancreatography. World J Gastroenterol. 2008;14:6078–82.PubMedCrossRef

32.

Francois E, Kahaleh M, Giovannini M, Matos C, Deviere J. EUS-guided pancreaticogastrostomy. Gastrointest Endosc. 2002;56:128–33.PubMedCrossRef

33.

Kahaleh M, Yoshida C, Yeaton P. EUS anterograde pancreatography with gastropancreatic duct stent placement: review of two cases. Gastrointest Endosc. 2003;58:919–23.PubMedCrossRef

34.

Kahaleh M, Hernandez AJ, Tokar J, et al. EUS-guided pancreaticogastrostomy: analysis of its efficacy to drain inaccessible pancreatic ducts. Gastrointest Endosc. 2007;65:224–30.PubMedCrossRef

35.

Will U, Fueldner F, Thieme AK, et al. Transgastric pancreatography and EUS-guided drainage of the pancreatic duct. J Hepatobiliary Pancreat Surg. 2007;14:377–82.PubMedCrossRef

36.

Binmoeller KF, Shah J. A novel lumen-apposing stent for translumenal fluid collections. Endoscopy. 2010 (in press).

Title: Endoscopic ultrasound-guided anterograde cholangiopancreatography
Authors: Kenneth F. Binmoeller
Thai Nguyen-Tang
Publication date: 01-05-2011
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 3/2011
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-010-0358-1

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Endoscopic ultrasound-guided anterograde cholangiopancreatography

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