Related Experiment Video
Updated: May 21, 2026
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Endoscopic ultrasound-guided choledoco-duodenostomy as an alternative to percutaneous trans-hepatic cholangiography
James A Nicholson1, Marianne Johnstone, Michael G T Raraty
1NIHR Pancreas Biomedical Research Unit, Royal Liverpool University Hospital, UK. europac@liv.ac.uk
Background:
Endoscopic ultrasonography (EUS)-guided choledochoduodenostomy (CDS) is an alternative to percutaneous transhepatic cholangiography (PTC) drainage in patients with an obstructed biliary system where conventional endoscopic retrograde biliary drainage (ERBD) has been unsuccessful.
Methods:
Five EUS-CDS procedures were reviewed to assess whether successful decompression was achieved and maintained.
Results:
There was technical success in each instance with no immediate complications. There was a significant fall in the median bilirubin of 164 mmol/l. The median follow-up was 44 days. In one patient the stent migrated with no adverse outcome.
Conclusion:
EUS-CDS is a viable alternative to PTC with fewer complications and comparable success rates. EUS-CDS may offer a future route for novel therapeutic advances.
