Related Experiment Video
Updated: May 11, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Malignant biliary obstruction, general review and clinical practice]
Didier Bonnel1, Thierry André, Benoît Mader
1Clinique de l'Alma, 166, rue de l'Université, 75007 Paris, France. didier.bonnel@imagerie-tourville.com
Abstract:
This review recalls the clinical, anatomic, physiopathological and etiological features necessary in the management of patients with neoplastic bile duct obstruction and exposes the current practice concerning endoscopic and radiologic palliative drainage. Clinical practice according to the clinical situations is explained. This review exposes complications management for patients having undergone an endoscopic or percutaneous drainage of the biliary ducts, the particular case of periportal stenosis, the respective indications of endoscopic and transhepatic percutaneous drainage, usual immediate evolution according to the type of the stenosis and the technique used as well as the management in case of stent obstruction.
Related Concept Videos
Acute Pancreatitis II: Clinical Manifestations and Management
Cholecystitis
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Intestinal Obstruction II: Pathophysiology
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
