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Updated: Apr 4, 2026

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Recent advances in endoscopic ultrasonography-guided biliary interventions.

Kazumichi Kawakubo1, Hiroshi Kawakami1, Masaki Kuwatani1

  • 1Kazumichi Kawakubo, Hiroshi Kawakami, Masaki Kuwatani, Shin Haba, Shuhei Kawahata, Yoko Abe, Yoshimasa Kubota, Kimitoshi Kubo, Naoya Sakamoto, Department of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Sapporo 0608638, Japan.

World Journal of Gastroenterology
|September 2, 2015
PubMed
Summary

Interventional endoscopic ultrasonography (EUS) offers a minimally invasive approach for biliary diseases, especially as salvage therapy after failed procedures. This review covers EUS-guided biliary interventions, including techniques, outcomes, and future directions.

Keywords:
Antegrade treatmentCholedochoduodenostomyEndosonography-guided biliary interventionHepaticogastrostomyRendezvous procedure

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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Biliary Interventions

Background:

  • Interventional endoscopic ultrasonography (EUS) using EUS-guided fine-needle aspiration is a rapidly adopted minimally invasive procedure.
  • EUS-guided biliary intervention serves as a valuable salvage therapy for patients with failed endoscopic retrograde cholangiopancreatography.

Purpose of the Study:

  • To summarize the indications, techniques, clinical results, and future perspectives of interventional EUS for biliary diseases.
  • To provide an overview of advancements in EUS-guided biliary interventions.

Main Methods:

  • Review of existing literature on interventional EUS for biliary diseases.
  • Categorization of EUS-guided biliary interventions into three main techniques: bilioenteric anastomosis, rendezvous procedure, and antegrade treatment.

Main Results:

  • EUS-guided biliary interventions are effective, particularly in complex cases.
  • Three primary techniques exist: EUS-guided bilioenteric anastomosis, rendezvous procedure, and antegrade treatment.
  • Despite not being fully standardized, interventional EUS shows significant progress in managing biliary diseases.

Conclusions:

  • Interventional EUS is a promising minimally invasive option for various biliary diseases.
  • Further standardization and research are needed to optimize EUS-guided biliary interventions.
  • EUS-guided interventions represent a significant advancement in endoscopic therapy for biliary conditions.