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endoscopic ultrasound-guided biliary drainage:Are we there yet?

World Journal of Gastrointestinal Endoscopy 2021年第8期13卷 302-318页

作者： Rishi Pawa Troy Pleasant Chloe Tom Swati Pawa Department of Internal Medicine Section of Gastroenterology and HepatologyWake Forest Baptist Medical CenterWinston-SalemNC 27157United States Department of Medicine Wake Forest School of MedicineWinston-SalemNC 27101United States

endoscopic retrograde cholangiopancreatography(ERCP)is the mainstay procedure of choice for management of obstructive biliary *** ERCP is widely performed with high success rates,the procedure is not feasible in every patient such as cases of non-accessible *** the setting of unsuccessful ERCP,endoscopic ultrasound-guided biliary drainage(EUS-BD)has become a promising alternative to surgical bypass and percutaneous biliary drainage(PTBD).A variety of different forms of EUS-BD have been described,allowing for both intrahepatic and extrahepatic *** studies have reported high success rates utilizing EUS-BD for both transpapillary and transluminal drainage,with fewer adverse events when compared to *** in novel technologies designed specifically for EUS-BD have led to increased success rates as well as improved safety profile for the *** techniques of EUS-BD are yet to be fully standardized and are currently performed by highly trained advanced *** aim of our review is to highlight the different EUSguided interventions for achieving biliary drainage and to both assess the progress that has been made in the field as well as consider what the future may hold.

关键词： endoscopic ultrasound-guided biliary drainage endoscopic ultrasound-guided rendezvous endoscopic ultrasound-guided choledochoduodenostomy endoscopic ultrasound-guided hepaticogastrostomy endoscopic ultrasound-guided gallbladder drainage endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography

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endoscopic ultrasound-guided biliary drainage-current status and future perspectives

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World Journal of Gastrointestinal Endoscopy 2021年第12期13卷 607-618页

作者： Petko Ivanov Karagyozov Ivan Tishkov Irina Boeva Kiril Draganov Department of Interventional Gastroenterology Clinic of GastroenterologyAcibadem City Clinic Tokuda HopsitalSofia 1407Bulgaria Clinic of Liver BiliaryPancreatic and General SurgeryAcibadem City Clinic Tokuda HospitalSofia 1407Bulgaria

endoscopic retrograde cholangiopancreatography(ERCP)with stenting is the treatment modality of choice for patients with benign and malignant bile duct *** could fail in cases of duodenal obstruction,duodenal diverticulum,ampullary neoplastic infiltration or surgically altered *** these cases percutaneous biliary drainage(PTBD)is traditionally used as a rescue procedure but is related to high morbidity and mortality and lower quality of *** ultrasound-guided biliary drainage(EUS-BD)is a relatively new interventional procedure that arose due to the development of curvilinear echoendoscope and the various endoscopic devices.A large amount of data is already collected that proves its efficacy,safety and ability to replace PTBD in cases of ERCP *** is also possible that EUS-BD could be chosen as a first-line treatment option in some clinical scenarios in the near *** EUS-BD techniques are developed EUS-guided transmural stenting,antegrade stenting and rendezvous technique and can be personalized depending on the individual ***-BD is normally performed in the same session from the same endoscopist in case of ERCP *** lack of training,absence of enough dedicated devices and lack of standardization still makes EUS-BD a difficult and not very popular procedure,which is related to life-threatening adverse *** training models,dedicated devices and guidelines hopefully will make EUS-BD easier,safer and well accepted in the *** paper focuses on the technical aspects of the different EUS-BD procedures,available literature data,advantages,negative aspects and the future perspectives of these modalities.

关键词： endoscopic ultrasound-guided biliary drainage Malignant bile duct obstruction endoscopic ultrasound-guided hepaticogastrostomy endoscopic ultrasoundguided rendezvous technique endoscopic ultrasound-guided choledochoduodenostomy endoscopic ultrasound-guided antegrade stenting endoscopic retrograde cholangiopancreatography

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