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Endoscopic Ultrasound-Guided Biliary Access, with Focus on Technique and Practical Tips
1Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Clinical Endoscopy
|April 11, 2017
Summary
Endoscopic ultrasound (EUS) offers therapeutic biliary drainage as an alternative to ERBD or PTBD. This article details three EUS-guided biliary access methods, focusing on techniques and tips.
Area of Science:
- Gastroenterology and Endoscopy
- Interventional Radiology
Background:
- Endoscopic ultrasound (EUS) was first used diagnostically for pancreatic evaluation in 1980.
- EUS applications have expanded to gastrointestinal interventions like fine needle aspiration, tumor ablation, and pancreatobiliary access.
- EUS-guided biliary drainage is a key therapeutic role, offering an alternative to ERBD and PTBD.
Purpose of the Study:
- To summarize three distinct methods of EUS-guided biliary access.
- To provide practical tips and focus on the techniques involved in EUS-guided biliary interventions.
Main Methods:
- Review of established EUS-guided biliary drainage techniques.
- Detailed explanation of procedural steps for each method.
- Inclusion of practical tips for successful EUS-guided biliary access.
Main Results:
- Three primary EUS-guided biliary access techniques are presented.
- The article emphasizes technical aspects and practical considerations for each method.
- EUS provides a viable alternative for biliary drainage.
Conclusions:
- EUS-guided biliary drainage is an established therapeutic option.
- Mastery of specific techniques and practical tips is crucial for successful EUS-guided biliary interventions.
- EUS offers a valuable alternative to ERBD and PTBD for biliary drainage.
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