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Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases
Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet obstruction. After a failed ERCP, a surgical or a percutaneous ap...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Gastrointestinal Endoscopy
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547351/ https://www.ncbi.nlm.nih.gov/pubmed/30866611 http://dx.doi.org/10.5946/ce.2018.188 |
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author | Nakai, Yousuke Kogure, Hirofumi Isayama, Hiroyuki Koike, Kazuhiko |
author_facet | Nakai, Yousuke Kogure, Hirofumi Isayama, Hiroyuki Koike, Kazuhiko |
author_sort | Nakai, Yousuke |
collection | PubMed |
description | Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet obstruction. After a failed ERCP, a surgical or a percutaneous approach is selected as a rescue procedure; however, various endoscopic ultrasound (EUS)-guided interventions are increasingly utilized in pancreatobiliary diseases, including EUS-guided rendezvous for failed biliary cannulation, EUS-guided antegrade treatment for stone management, and EUS-guided hepaticogastrostomy for anastomotic strictures in patients with a surgically altered anatomy. There are some technical hurdles in EUS-guided interventions for benign biliary diseases owing to the difficulty in puncturing a relatively small bile duct and in subsequent guidewire manipulation, as well as the lack of dedicated devices. A recent major advancement in this field is the introduction of a 2-step approach, in which EUS-guided drainage is placed in the first session and antegrade treatment is performed in subsequent sessions. This approach allows the use of various techniques such as mechanical lithotripsy and cholangioscopy without a risk of bile leak. In summary, EUS-guided interventions are among the treatment options for benign biliary diseases; however, standardization of the procedure and development of a treatment algorithm are needed. |
format | Online Article Text |
id | pubmed-6547351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-65473512019-06-17 Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases Nakai, Yousuke Kogure, Hirofumi Isayama, Hiroyuki Koike, Kazuhiko Clin Endosc Focused Review Series: Expanding Indication: Interventional Endoscopic Management for Pancreaticobiliary Diseases Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet obstruction. After a failed ERCP, a surgical or a percutaneous approach is selected as a rescue procedure; however, various endoscopic ultrasound (EUS)-guided interventions are increasingly utilized in pancreatobiliary diseases, including EUS-guided rendezvous for failed biliary cannulation, EUS-guided antegrade treatment for stone management, and EUS-guided hepaticogastrostomy for anastomotic strictures in patients with a surgically altered anatomy. There are some technical hurdles in EUS-guided interventions for benign biliary diseases owing to the difficulty in puncturing a relatively small bile duct and in subsequent guidewire manipulation, as well as the lack of dedicated devices. A recent major advancement in this field is the introduction of a 2-step approach, in which EUS-guided drainage is placed in the first session and antegrade treatment is performed in subsequent sessions. This approach allows the use of various techniques such as mechanical lithotripsy and cholangioscopy without a risk of bile leak. In summary, EUS-guided interventions are among the treatment options for benign biliary diseases; however, standardization of the procedure and development of a treatment algorithm are needed. Korean Society of Gastrointestinal Endoscopy 2019-05 2019-03-14 /pmc/articles/PMC6547351/ /pubmed/30866611 http://dx.doi.org/10.5946/ce.2018.188 Text en Copyright © 2019 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Focused Review Series: Expanding Indication: Interventional Endoscopic Management for Pancreaticobiliary Diseases Nakai, Yousuke Kogure, Hirofumi Isayama, Hiroyuki Koike, Kazuhiko Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases |
title | Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases |
title_full | Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases |
title_fullStr | Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases |
title_full_unstemmed | Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases |
title_short | Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases |
title_sort | endoscopic ultrasound-guided biliary drainage for benign biliary diseases |
topic | Focused Review Series: Expanding Indication: Interventional Endoscopic Management for Pancreaticobiliary Diseases |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547351/ https://www.ncbi.nlm.nih.gov/pubmed/30866611 http://dx.doi.org/10.5946/ce.2018.188 |
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