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Review
. 2019 Nov 28;8(Suppl 1):S50-S56.
doi: 10.4103/eus.eus_52_19. eCollection 2019 Nov.

Drainage of the right liver using EUS guidance

Fabrice Caillol  1 , Mathieu Rouy  2 , Christian Pesenti  1 , Jean-Philippe Ratone  1 , Marc Giovannini  1
Affiliations
Review

Drainage of the right liver using EUS guidance

Fabrice Caillol et al. Endosc Ultrasound. .

Abstract

Hepaticogastrostomy (HGS) has been reported for the management of palliative malignant hilar stricture and involves draining the left liver as rescue therapy. For the management of this complex stenosis, another new option for draining the right liver under EUS guidance was introduced. Ten publications involving 38 patients have been reported in the literature, in which the following two main techniques have been described: direct puncture of the right liver from the bulbus and the bridge technique allowing the drainage of the right liver across the left liver through HGS. In this review, we describe the techniques used and the potential advantages and complications of these procedures. Although this kind of drainage is demanding and probably limited to specific patients, EUS-biliary drainage of the right liver seems feasible with acceptable complications.

Keywords: EUS biliary drainage; liver; review; right liver endoscopic drainage.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Hilar stenosis before drainage
Figure 2
Figure 2
U-shaped position before hepaticoduodenostomy
Figure 3
Figure 3
Plastic stent placed with hepaticoduodenostomy
Figure 4
Figure 4
Metallic stent between the right liver and left liver: Bridge technique associated with hepaticogastrostomy
See this image and copyright information in PMC

References

    1. Giovannini M, Moutardier V, Pesenti C, et al. Endoscopic ultrasound-guided bilioduodenal anastomosis: A new technique for biliary drainage. Endoscopy. 2001;33:898–900. - PubMed
    1. 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. - PubMed
    1. Bories E, Pesenti C, Caillol F, et al. Transgastric endoscopic ultrasonography-guided biliary drainage: Results of a pilot study. Endoscopy. 2007;39:287–91. - PubMed
    1. Poincloux L, Rouquette O, Buc E, et al. Endoscopic ultrasound-guided biliary drainage after failed ERCP: Cumulative experience of 101 procedures at a single center. Endoscopy. 2015;47:794–801. - PubMed
    1. Sharaiha RZ, Khan MA, Kamal F, et al. Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: A systematic review and meta-analysis. Gastrointest Endosc. 2017;85:904–14. - PubMed