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Review
. 2012 Apr;22(2):259-69, ix.
doi: 10.1016/j.giec.2012.04.008. Epub 2012 May 3.

Endoscopic ultrasound-guided choledochoduodenostomy for malignant lower biliary tract obstruction

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Review

Endoscopic ultrasound-guided choledochoduodenostomy for malignant lower biliary tract obstruction

Kenji Yamao et al. Gastrointest Endosc Clin N Am. 2012 Apr.

Abstract

Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) is a novel alternative to percutaneous transhepatic biliary drainage, when endoscopic retrograde cholangiopancreatography is unsuccessful in patients with malignant lower biliary obstruction. Some case series and a few prospective studies of EUS-CDS have reported high technical and functional success rates but with the downside of high early complication rates, albeit mostly nonsevere. In addition, the stents placed by EUS-CDS had a longer patency than transpapillary biliary stents.

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