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

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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