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Indian Journal of Gastroenterology
Erschienen in:

11.09.2024 | Narrative review

Endoscopic ultrasound-guided biliary interventions

verfasst von: Deepak Madhu, Vinay Dhir

Erschienen in: Indian Journal of Gastroenterology | Ausgabe 5/2024

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Abstract

Endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) includes EUS-guided hepaticogastrostomy (EUS-HGS), EUS-guided choledochoduodenostomy (EUS-CDS), EUS-guided gallbladder drainage (EUS-GBD), EUS-guided antegrade stenting (EUS-AG) and EUS-guided rendezvous (EUS-RV). While EUS-HGS, EUS-CDS and EUS-GBD are transluminal drainage procedures, EUS-AG is a traspapillary drainage procedure and EUS-RV is a procedure intended to facilitate endoscopic retrograde cholangio pancreatography (ERCP) in instances of failed cannulation. These procedures were initially developed as options for endoscopic salvage of failed ERCP, but have evolved to become first-line interventions also for select indications over time as the technique and expertise improved. Several randomised controlled trials have demonstrated EUS-BD, especially EUS-CDS has similar or even better outcomes as compared to ERCP in malignant biliary obstruction. However, widespread adoption of these modalities is limited by the availability of expertise, steep learning curve, lack of standardization of techniques and cost. In this review, we aim to provide an overview of various EUS-BD procedures including the indications, accessories, technique, outcomes and follow-up of each of these procedures.
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Metadaten
Titel
Endoscopic ultrasound-guided biliary interventions
verfasst von
Deepak Madhu
Vinay Dhir
Publikationsdatum
11.09.2024
Verlag
Springer India
Erschienen in
Indian Journal of Gastroenterology / Ausgabe 5/2024
Print ISSN: 0254-8860
Elektronische ISSN: 0975-0711
DOI
https://doi.org/10.1007/s12664-024-01680-5

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