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Related Experiment Video

Updated: Jun 6, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

EUS-Guided Biliary Drainage.

Kenji Yamao1, Kazuo Hara, Nobumasa Mizuno

  • 1Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.

Gut and Liver
|November 25, 2010
PubMed
Summary

Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

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Endoscopic ultrasonography-guided biliary drainage (EUS-BD) offers alternatives for obstructive jaundice when other methods fail. While EUS-guided choledochoduodenostomy and hepaticogastrostomy show high success but more complications, rendezvous techniques are less successful but safer.

Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Medical Imaging

Background:

  • Endoscopic ultrasonography (EUS) is crucial for diagnosing pancreatobiliary diseases.
  • EUS-guided fine-needle aspiration (EUS-FNA) has expanded indications for sampling lesions and therapeutic interventions.
  • EUS-guided biliary drainage (EUS-BD) has emerged as a therapeutic advancement.

Purpose of the Study:

  • To review the technical aspects and outcomes of EUS-guided biliary drainage (EUS-BD).
  • To evaluate EUS-BD as an alternative to surgery or percutaneous transhepatic biliary drainage (PTBD) for obstructive jaundice.
  • To highlight the need for further research and standardization of EUS-BD procedures.

Main Methods:

  • Review of published data on EUS-BD techniques, including rendezvous, EUS-guided choledochoduodenostomy (EUS-CDS), and EUS-guided hepaticogastrostomy (EUS-HGS).
Keywords:
Endoscopic ultrasonographyEndoscopic ultrasonography-guided biliary drainageEndoscopic ultrasonography-guided choledochoduodenostomyEndoscopic ultrasonography-guided hepaticogastrostomyRendezvous technique

Related Experiment Videos

Last Updated: Jun 6, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

  • Analysis of success rates and complication profiles for different EUS-BD approaches.
  • Comparison of EUS-BD with existing treatment modalities for obstructive jaundice.

    • Main Results:

    • EUS-CDS and EUS-HGS demonstrate high success rates but are associated with a higher incidence of nonfatal complications.
    • The EUS-BD rendezvous technique shows a lower success rate but a lower complication rate.
    • EUS-BD procedures are viable alternatives when standard endoscopic biliary drainage (EBD) fails.

    Conclusions:

    • EUS-BD offers valuable therapeutic options for complex biliary obstruction.
    • Experience in linear EUS and therapeutic ERCP is essential for performing EUS-BD safely.
    • Further large-scale prospective studies are required to standardize EUS-BD and compare it with PTBD and EBD.