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Related Experiment Video

Updated: May 30, 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.

Marc Giovannini1, Erwan Bories

  • 1Endoscopic Unit, Paoli-Calmettes Institute, 232 Boulevard St-Marguerite, 13273 Marseille Cedex 9, France.

Gastroenterology Research and Practice
|August 24, 2011
PubMed
Summary
This summary is machine-generated.

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 ultrasound-guided biliary drainage offers an alternative when ERCP fails, achieving high success rates for obstructive jaundice. This advanced technique requires specialized centers and experienced endoscopists for safe execution.

Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Biliary Interventions

Background:

  • Endoscopic Retrograde Cholangiopancreatography (ERCP) is a primary method for obstructive jaundice, but can fail due to anatomical challenges.
  • Surgical and percutaneous transhepatic biliary drainage are alternatives, but echoendoscopic methods offer a less invasive approach.
  • Advancements in echoendoscope technology have enabled direct visualization and intervention in the biliary tree.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic ultrasound-guided biliary drainage as an alternative to ERCP.
  • To describe the technical aspects and outcomes of echoendoscopic hepaticogastrostomy and choledochoduodenostomy.
  • To highlight the role of specialized centers and experienced teams in performing these complex procedures.

Related Experiment Videos

Last Updated: May 30, 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

Main Methods:

  • Linear array echoendoscopes were utilized for direct ultrasonographic visualization.
  • Procedures included puncture and contrast injection of the left biliary tree, followed by tract dilatation (6F cystostome).
  • Stent placement (plastic or metallic) was performed, with a dual-stent technique described for hepaticogastrostomy to prevent leakage.

Main Results:

  • Hepaticogastrostomy demonstrated a technical success rate of approximately 98%, with a 36% complication rate including pneumoperitoneum and infection.
  • Choledochoduodenostomy achieved an overall success rate of 92%, with reported complications of pneumoperitoneum and bile peritonitis in 19%.
  • A dual-stent technique involving an uncovered metallic stent and a covered stent was effective in preventing bile leakage.

Conclusions:

  • Endoscopic ultrasound-guided biliary drainage is a viable and effective alternative for patients with obstructive jaundice when ERCP is unsuccessful.
  • The technique, particularly hepaticogastrostomy and choledochoduodenostomy, offers high success rates but requires careful management of potential complications.
  • Performing these procedures in reference centers by experienced ERCP groups is recommended for optimal safety and outcomes.