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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)...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
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.
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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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