Related Experiment Video
Updated: Jul 8, 2026
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
EUS-guided drainage of bilomas: a new alternative?
Vanessa M Shami1, Jayant P Talreja, Anshu Mahajan
1Charlottesville, Virginia, USA.
Gastrointestinal Endoscopy
|December 25, 2007
Summary
Endoscopic ultrasound-guided drainage offers a safe and effective alternative for treating symptomatic bilomas, avoiding complications associated with traditional percutaneous or surgical methods. This minimally invasive technique shows promising results for biloma resolution.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Biliary Interventions
Background:
- Traditional treatments for bilomas, such as percutaneous drainage and surgery, are associated with significant drawbacks including discomfort, infection, high morbidity, and mortality.
- Endoscopic drainage presents a less invasive alternative for bilomas adjacent to the gastrointestinal lumen, with limited case reports previously published.
Observation:
- This study evaluated the efficacy and safety of a novel endoscopic ultrasound-guided transenteric drainage technique for symptomatic bilomas.
- Five patients with symptomatic bilomas underwent EUS-guided drainage at a tertiary care center specializing in EUS-guided procedures.
Findings:
- Successful EUS-guided transenteric drainage was achieved in all 5 patients, with no significant complications reported.
- Complete biloma resolution was observed in all patients, and no recurrence was noted in the 4 patients after stent removal, with a mean follow-up of 12.8 months.
Implications:
- EUS-guided drainage of bilomas is a technically feasible and safe endoscopic approach.
- This technique provides a valuable alternative to conventional percutaneous or surgical interventions for managing symptomatic bilomas.