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Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction

This narrative review provides an overview of the application of endoscopic ultrasound-guided biliary drainage (EUS-BD), including EUS-guided gallbladder drainage (EUS-GBD), for the treatment of malignant biliary obstruction. EUS-BD has demonstrated excellent technical and clinical success rates, wi...

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Autores principales: Fugazza, Alessandro, Andreozzi, Marta, De Marco, Alessandro, Da Rio, Leonardo, Colombo, Matteo, Spadaccini, Marco, Carrara, Silvia, Giacchetto, Marco, Sharma, Mrigya, Craviotto, Vincenzo, Busacca, Anita, Ferrari, Chiara, Repici, Alessandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487072/
https://www.ncbi.nlm.nih.gov/pubmed/37685326
http://dx.doi.org/10.3390/diagnostics13172788
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author Fugazza, Alessandro
Andreozzi, Marta
De Marco, Alessandro
Da Rio, Leonardo
Colombo, Matteo
Spadaccini, Marco
Carrara, Silvia
Giacchetto, Marco
Sharma, Mrigya
Craviotto, Vincenzo
Busacca, Anita
Ferrari, Chiara
Repici, Alessandro
author_facet Fugazza, Alessandro
Andreozzi, Marta
De Marco, Alessandro
Da Rio, Leonardo
Colombo, Matteo
Spadaccini, Marco
Carrara, Silvia
Giacchetto, Marco
Sharma, Mrigya
Craviotto, Vincenzo
Busacca, Anita
Ferrari, Chiara
Repici, Alessandro
author_sort Fugazza, Alessandro
collection PubMed
description This narrative review provides an overview of the application of endoscopic ultrasound-guided biliary drainage (EUS-BD), including EUS-guided gallbladder drainage (EUS-GBD), for the treatment of malignant biliary obstruction. EUS-BD has demonstrated excellent technical and clinical success rates, with lower rates of adverse events when compared with percutaneous trans-hepatic biliary drainage (PTBD). EUS-BD is currently the preferred alternative technique for biliary drainage (BD) in patients with distal malignant biliary obstruction (DMBO) after failed endoscopic retrograde cholangiopancreatography (ERCP). Particularly, this review will focus on EUS-BD performed with the use of lumen apposing metal stent (LAMS). The introduction of these innovative devices, followed by the advent of electrocautery-enhanced LAMS (EC-LAMS), gave the procedure a great technical implementation and a widespread application.
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spelling pubmed-104870722023-09-09 Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction Fugazza, Alessandro Andreozzi, Marta De Marco, Alessandro Da Rio, Leonardo Colombo, Matteo Spadaccini, Marco Carrara, Silvia Giacchetto, Marco Sharma, Mrigya Craviotto, Vincenzo Busacca, Anita Ferrari, Chiara Repici, Alessandro Diagnostics (Basel) Review This narrative review provides an overview of the application of endoscopic ultrasound-guided biliary drainage (EUS-BD), including EUS-guided gallbladder drainage (EUS-GBD), for the treatment of malignant biliary obstruction. EUS-BD has demonstrated excellent technical and clinical success rates, with lower rates of adverse events when compared with percutaneous trans-hepatic biliary drainage (PTBD). EUS-BD is currently the preferred alternative technique for biliary drainage (BD) in patients with distal malignant biliary obstruction (DMBO) after failed endoscopic retrograde cholangiopancreatography (ERCP). Particularly, this review will focus on EUS-BD performed with the use of lumen apposing metal stent (LAMS). The introduction of these innovative devices, followed by the advent of electrocautery-enhanced LAMS (EC-LAMS), gave the procedure a great technical implementation and a widespread application. MDPI 2023-08-29 /pmc/articles/PMC10487072/ /pubmed/37685326 http://dx.doi.org/10.3390/diagnostics13172788 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
Fugazza, Alessandro
Andreozzi, Marta
De Marco, Alessandro
Da Rio, Leonardo
Colombo, Matteo
Spadaccini, Marco
Carrara, Silvia
Giacchetto, Marco
Sharma, Mrigya
Craviotto, Vincenzo
Busacca, Anita
Ferrari, Chiara
Repici, Alessandro
Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction
title Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction
title_full Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction
title_fullStr Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction
title_full_unstemmed Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction
title_short Endoscopy Ultrasound-Guided Biliary Drainage Using Lumen Apposing Metal Stent in Malignant Biliary Obstruction
title_sort endoscopy ultrasound-guided biliary drainage using lumen apposing metal stent in malignant biliary obstruction
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487072/
https://www.ncbi.nlm.nih.gov/pubmed/37685326
http://dx.doi.org/10.3390/diagnostics13172788
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