Endoscopic Ultrasound-Guided Biliary Drainage for Unresectable Hilar Malignant Biliary Obstruction
Clinical Endoscopy
;
: 220-225, 2019.
Article
in English
| WPRIM
| ID: wpr-763439
ABSTRACT
Endoscopic transpapillary biliary drainage is the current standard of care for unresectable hilar malignant biliary obstruction (MBO) and bilateral metal stent placement is shown to have longer patency. However, technical and clinical failure is possible and percutaneous transhepatic biliary drainage (PTBD) is sometimes necessary. Endoscopic ultrasound-guided biliary drainage (EUS-BD) is increasingly being reported as an alternative rescue procedure to PTBD. EUS-BD has a potential advantage of not traversing the biliary stricture and internal drainage can be completed in a single session. Some approaches to bilateral biliary drainage for hilar MBO under EUS-guidance include a bridging method, hepaticoduodenostomy, and a combination of EUS-BD and transpapillary biliary drainage. The aim of this review is to summarize data on EUS-BD for hilar MBO and to clarify its advantages over the conventional approaches such as endoscopic transpapillary biliary drainage and PTBD.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stents
/
Drainage
/
Constriction, Pathologic
/
Endosonography
/
Standard of Care
/
Methods
Type of study:
Practice guideline
Language:
English
Journal:
Clinical Endoscopy
Year:
2019
Type:
Article
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