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How to perform EUS-guided biliary drainage
EUS-guided biliary drainage (EUS-BD) has recently gained widespread acceptance as a minimally invasive alternative method for biliary drainage. Even in experienced endoscopy centers, ERCP may fail due to inaccessibility of the papillary region, altered anatomy (particularly postsurgical alterations)...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9688140/ https://www.ncbi.nlm.nih.gov/pubmed/36255022 http://dx.doi.org/10.4103/EUS-D-21-00188 |
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author | Dietrich, Christoph F. Braden, Barbara Burmeister, Sean Aabakken, Lars Arciadacono, Paolo Giorgio Bhutani, Manoop S. Götzberger, Manuela Healey, Andrew J. Hocke, Michael Hollerbach, Stephan Ignee, André Jenssen, Christian Jürgensen, Christian Larghi, Alberto Moeller, Kathleen Napoléon, Bertrand Rimbas, Mihai Săftoiu, Adrian Sun, Siyu Bun Teoh, Anthony Yuen Vanella, Giuseppe Fusaroli, Pietro Carrara, Silvia Will, Uwe Dong, Yi Burmester, Eike |
author_facet | Dietrich, Christoph F. Braden, Barbara Burmeister, Sean Aabakken, Lars Arciadacono, Paolo Giorgio Bhutani, Manoop S. Götzberger, Manuela Healey, Andrew J. Hocke, Michael Hollerbach, Stephan Ignee, André Jenssen, Christian Jürgensen, Christian Larghi, Alberto Moeller, Kathleen Napoléon, Bertrand Rimbas, Mihai Săftoiu, Adrian Sun, Siyu Bun Teoh, Anthony Yuen Vanella, Giuseppe Fusaroli, Pietro Carrara, Silvia Will, Uwe Dong, Yi Burmester, Eike |
author_sort | Dietrich, Christoph F. |
collection | PubMed |
description | EUS-guided biliary drainage (EUS-BD) has recently gained widespread acceptance as a minimally invasive alternative method for biliary drainage. Even in experienced endoscopy centers, ERCP may fail due to inaccessibility of the papillary region, altered anatomy (particularly postsurgical alterations), papillary obstruction, or neoplastic gastric outlet obstruction. Biliary cannulation fails at first attempt in 5%–10% of cases even in the absence of these factors. In such cases, alternative options for biliary drainage must be provided since biliary obstruction is responsible for poor quality of life and even reduced survival, particularly due to septic cholangitis. The standard of care in many centers remains percutaneous transhepatic biliary drainage (PTBD). However, despite the high technical success rate with experienced operators, the percutaneous approach is more invasive and associated with poor quality of life. PTBD may result in long-term external catheters for biliary drainage and carry the risk of serious adverse events (SAEs) in up to 10% of patients, including bile leaks, hemorrhage, and sepsis. PTBD following a failed ERCP also requires scheduling a second procedure, resulting in prolonged hospital stay and additional costs. EUS-BD may overcome many of these limitations and offer some distinct advantages in accessing the biliary tree. Current data suggest that EUS-BD is safe and effective when performed by experts, although SAEs have been also reported. Despite the high number of clinical reports and case series, high-quality comparative studies are still lacking. The purpose of this article is to report on the current status of this procedure and to discuss the tools and techniques for EUS-BD in different clinical scenarios. |
format | Online Article Text |
id | pubmed-9688140 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-96881402022-11-25 How to perform EUS-guided biliary drainage Dietrich, Christoph F. Braden, Barbara Burmeister, Sean Aabakken, Lars Arciadacono, Paolo Giorgio Bhutani, Manoop S. Götzberger, Manuela Healey, Andrew J. Hocke, Michael Hollerbach, Stephan Ignee, André Jenssen, Christian Jürgensen, Christian Larghi, Alberto Moeller, Kathleen Napoléon, Bertrand Rimbas, Mihai Săftoiu, Adrian Sun, Siyu Bun Teoh, Anthony Yuen Vanella, Giuseppe Fusaroli, Pietro Carrara, Silvia Will, Uwe Dong, Yi Burmester, Eike Endosc Ultrasound Review Article EUS-guided biliary drainage (EUS-BD) has recently gained widespread acceptance as a minimally invasive alternative method for biliary drainage. Even in experienced endoscopy centers, ERCP may fail due to inaccessibility of the papillary region, altered anatomy (particularly postsurgical alterations), papillary obstruction, or neoplastic gastric outlet obstruction. Biliary cannulation fails at first attempt in 5%–10% of cases even in the absence of these factors. In such cases, alternative options for biliary drainage must be provided since biliary obstruction is responsible for poor quality of life and even reduced survival, particularly due to septic cholangitis. The standard of care in many centers remains percutaneous transhepatic biliary drainage (PTBD). However, despite the high technical success rate with experienced operators, the percutaneous approach is more invasive and associated with poor quality of life. PTBD may result in long-term external catheters for biliary drainage and carry the risk of serious adverse events (SAEs) in up to 10% of patients, including bile leaks, hemorrhage, and sepsis. PTBD following a failed ERCP also requires scheduling a second procedure, resulting in prolonged hospital stay and additional costs. EUS-BD may overcome many of these limitations and offer some distinct advantages in accessing the biliary tree. Current data suggest that EUS-BD is safe and effective when performed by experts, although SAEs have been also reported. Despite the high number of clinical reports and case series, high-quality comparative studies are still lacking. The purpose of this article is to report on the current status of this procedure and to discuss the tools and techniques for EUS-BD in different clinical scenarios. Wolters Kluwer - Medknow 2022-10-05 /pmc/articles/PMC9688140/ /pubmed/36255022 http://dx.doi.org/10.4103/EUS-D-21-00188 Text en Copyright: © 2022 SCHOLAR MEDIA PUBLISHING https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Dietrich, Christoph F. Braden, Barbara Burmeister, Sean Aabakken, Lars Arciadacono, Paolo Giorgio Bhutani, Manoop S. Götzberger, Manuela Healey, Andrew J. Hocke, Michael Hollerbach, Stephan Ignee, André Jenssen, Christian Jürgensen, Christian Larghi, Alberto Moeller, Kathleen Napoléon, Bertrand Rimbas, Mihai Săftoiu, Adrian Sun, Siyu Bun Teoh, Anthony Yuen Vanella, Giuseppe Fusaroli, Pietro Carrara, Silvia Will, Uwe Dong, Yi Burmester, Eike How to perform EUS-guided biliary drainage |
title | How to perform EUS-guided biliary drainage |
title_full | How to perform EUS-guided biliary drainage |
title_fullStr | How to perform EUS-guided biliary drainage |
title_full_unstemmed | How to perform EUS-guided biliary drainage |
title_short | How to perform EUS-guided biliary drainage |
title_sort | how to perform eus-guided biliary drainage |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9688140/ https://www.ncbi.nlm.nih.gov/pubmed/36255022 http://dx.doi.org/10.4103/EUS-D-21-00188 |
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