Published in:
Open Access
01-04-2014 | Clinical Review
Endoscopic ultrasound-guided biliary drainage: a review
Authors:
Takuji Iwashita, Shinpei Doi, Ichiro Yasuda
Published in:
Clinical Journal of Gastroenterology
|
Issue 2/2014
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Abstract
Endoscopic retrograde cholangiography (ERCP) is widely used as a first-line therapy for biliary drainage. ERCP occasionally fails owing to anatomical or technical problems, despite high reported success rates. Endoscopic ultrasound-guided biliary drainage (EUS-BD) has recently emerged as an effective alternative biliary drainage method after unsuccessful ERCP. EUS-BD can be essentially divided into 3 different techniques—(1) EUS-guided transluminal biliary drainage including choledocoduodenostomy and hepaticogastrostomy, (2) EUS-rendezvous technique, and (3) EUS-antegrade approach. Here, we focus on the current status of EUS-BD in light of these 3 different techniques.