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Related Concept Videos

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Related Experiment Video

Updated: Apr 7, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Recent progress in endoscopic ultrasonography guided biliary intervention.

Hiroyuki Isayama1, Yousuke Nakai2, Kazumichi Kawakubo2

  • 1Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. isayama-tky@umin.ac.jp.

Clinical Journal of Gastroenterology
|July 17, 2015
PubMed
Summary

Endoscopic ultrasonography (EUS) guided biliary interventions, including drainage and gallbladder drainage, show promising safety and efficacy. Advances in EUS techniques and devices are improving outcomes for complex biliary interventions.

Keywords:
EUS-BDEUS-GBDEndoscopic ultrasonography (EUS)Interventional EUSRendezvous

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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Biliary Interventions

Background:

  • Endoscopic ultrasonography (EUS) is revolutionizing biliary interventions.
  • Recent advances include EUS-guided biliary drainage (BD), cannulation, and gallbladder drainage (GBD).
  • Covered metallic stents enhance safety in EUS-BD, preventing bile leaks.

Purpose of the Study:

  • To review recent advances in EUS-guided biliary interventions.
  • To discuss the efficacy and safety of novel EUS techniques.
  • To highlight the development of specialized devices for EUS procedures.

Main Methods:

  • Review of recent literature on EUS-guided biliary interventions.
  • Analysis of studies on EUS-BD (trans-gastric hepaticogastrostomy and trans-duodenal choledochoduodenostomy).
  • Evaluation of EUS-guided biliary rendezvous (EUS-RV) and EUS-GBD.

Main Results:

  • EUS-BD, particularly hepaticogastrostomy, offers a viable salvage therapy with improved safety using metallic stents.
  • EUS-guided biliary rendezvous (EUS-RV) demonstrates high success rates, potentially superior to precutting techniques.
  • EUS-guided gallbladder drainage (EUS-GBD) is non-inferior to percutaneous drainage for cholecystitis.

Conclusions:

  • EUS-guided biliary interventions are rapidly advancing with improved safety and efficacy.
  • Specialized metallic stents and techniques enhance the success of EUS-BD and EUS-GBD.
  • Standardization of EUS-guided biliary procedures is needed to optimize patient care.