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Endoscopic Ultrasound-Guided Biliary Drainage

Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic biliary drainage (PTBD) are currently first- and second-line therapeutic options, respectively, for the relief of biliary obstruction. In recent years, however, endoscopic ultrasound-guided biliary drainage (EUS-BD)...

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Detalles Bibliográficos
Autores principales: Doyle, John B., Sethi, Amrita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095139/
https://www.ncbi.nlm.nih.gov/pubmed/37048819
http://dx.doi.org/10.3390/jcm12072736
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author Doyle, John B.
Sethi, Amrita
author_facet Doyle, John B.
Sethi, Amrita
author_sort Doyle, John B.
collection PubMed
description Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic biliary drainage (PTBD) are currently first- and second-line therapeutic options, respectively, for the relief of biliary obstruction. In recent years, however, endoscopic ultrasound-guided biliary drainage (EUS-BD) has become an established alternative therapy for biliary obstruction. There are multiple different techniques for EUS-BD, which can be distinguished based on the access point within the biliary tree (intrahepatic versus extrahepatic) and the location of stent placement (transenteric versus transpapillary). The clinical and technical success rates of biliary drainage for EUS-BD are similar to both ERCP and PTBD, and complication rates are favorable for EUS-BD relative to PTBD. As EUS-BD becomes more widely practiced and endoscopic tools continue to advance, the outcomes will likely improve, and the breadth of indications for EUS-BD will continue to expand.
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spelling pubmed-100951392023-04-13 Endoscopic Ultrasound-Guided Biliary Drainage Doyle, John B. Sethi, Amrita J Clin Med Review Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic biliary drainage (PTBD) are currently first- and second-line therapeutic options, respectively, for the relief of biliary obstruction. In recent years, however, endoscopic ultrasound-guided biliary drainage (EUS-BD) has become an established alternative therapy for biliary obstruction. There are multiple different techniques for EUS-BD, which can be distinguished based on the access point within the biliary tree (intrahepatic versus extrahepatic) and the location of stent placement (transenteric versus transpapillary). The clinical and technical success rates of biliary drainage for EUS-BD are similar to both ERCP and PTBD, and complication rates are favorable for EUS-BD relative to PTBD. As EUS-BD becomes more widely practiced and endoscopic tools continue to advance, the outcomes will likely improve, and the breadth of indications for EUS-BD will continue to expand. MDPI 2023-04-06 /pmc/articles/PMC10095139/ /pubmed/37048819 http://dx.doi.org/10.3390/jcm12072736 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Doyle, John B.
Sethi, Amrita
Endoscopic Ultrasound-Guided Biliary Drainage
title Endoscopic Ultrasound-Guided Biliary Drainage
title_full Endoscopic Ultrasound-Guided Biliary Drainage
title_fullStr Endoscopic Ultrasound-Guided Biliary Drainage
title_full_unstemmed Endoscopic Ultrasound-Guided Biliary Drainage
title_short Endoscopic Ultrasound-Guided Biliary Drainage
title_sort endoscopic ultrasound-guided biliary drainage
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095139/
https://www.ncbi.nlm.nih.gov/pubmed/37048819
http://dx.doi.org/10.3390/jcm12072736
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