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Review
. 2019 May 16;11(5):345-353.
doi: 10.4253/wjge.v11.i5.345.

Endoscopic ultrasound-guided biliary drainage: A change in paradigm?

En-Ling Leung Ki  1 , Bertrand Napoleon  2
Affiliations
Review

Endoscopic ultrasound-guided biliary drainage: A change in paradigm?

En-Ling Leung Ki et al. World J Gastrointest Endosc. .

Abstract

Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been developed as an alternative means of biliary drainage for malignant biliary obstruction (MBO). Compared to percutaneous transhepatic biliary drainage, EUS-BD offers effective internal drainage in a single session in the event of failed endoscopic retrograde cholangiopancreatography and has fewer adverse events (AE). In choosing which technique to use for EUS-BD, a combination of factors appears to be important in decision-making; technical expertise, the risk of AE, and anatomy. With the advent of novel all-in-one EUS-BD specific devices enabling simpler and safer techniques, as well as the growing experience and training of endosonographers, EUS-BD may potentially become a first-line technique in biliary drainage for MBO.

Keywords: Electrocautery-enhanced lumen-apposing metal stents; Endoscopic ultrasound-guided biliary drainage; Endoscopic ultrasound-guided choledochoduodenostomy; Endoscopic ultrasound-guided hepaticogastrostomy; Lumen-apposing metal stents.

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Conflict of interest statement

Conflict-of-interest statement: Dr En-Ling Leung Ki EL declares no conflicts of interest. Dr Bertrand Napoleon declares educational fees and non-financial support from Boston Scientific, educational fees from Maunakea Technology, educational fees from Ipsen Pharma, educational fees from Cousin Endosurg, educational fees and non-financial support from Olympus, outside the submitted work.

Figures

Figure 1
Figure 1
Hot AXIOS deployed. Image provided courtesy of Boston Scientific. ©2019 Boston Scientific Corporation or its affiliates. All rights reserved. With permission.
See this image and copyright information in PMC

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