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Advances in Endoscopic Ultrasound-Guided Biliary Drainage: A Comprehensive Review
Gut and Liver ; : 129-136, 2013.
Artículo en Inglés | WPRIM | ID: wpr-197306
ABSTRACT
Endoscopic retrograde cholangiopancreatography (ERCP) has become the first-line therapy for bile duct drainage. In the hands of experienced endoscopists, conventional ERCP results in a failed cannulation rate of 3% to 5%. This failure can occur more commonly in the setting of altered anatomy or technically difficult cases due to either duodenal or biliary obstruction. In cases of ERCP failure, patients have traditionally been referred for either percutaneous transhepatic biliary drainage (PTBD) or surgery. However, both PTBD and surgery have higher than desirable complication rates. Within the last decade, endoscopic ultrasound-guided biliary drainage (EUS-BD) has become an attractive alternative to PTBD after failed ERCP. Many groups have reported on the feasibility, efficacy and safety of this technique. This article reviews the indications for ERCP and the currently practiced EUS-BD techniques, including EUS-guided rendezvous, EUS-guided choledochoduodenostomy and EUS-guided hepaticogastrostomy.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Conductos Biliares / Coledocostomía / Cateterismo / Drenaje / Colangiopancreatografia Retrógrada Endoscópica / Dioxolanos / Fluorocarburos / Mano Límite: Humanos Idioma: Inglés Revista: Gut and Liver Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Conductos Biliares / Coledocostomía / Cateterismo / Drenaje / Colangiopancreatografia Retrógrada Endoscópica / Dioxolanos / Fluorocarburos / Mano Límite: Humanos Idioma: Inglés Revista: Gut and Liver Año: 2013 Tipo del documento: Artículo