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Updated: Feb 13, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Endoscopic Ultrasound-Guided Biliary Drainage
1Division of Gastroenterology and Hepatology, University of Illinois Hospital and Health Sciences System, 840 S Wood Street, M/C 716, Chicago, IL 60612, USA.
Endoscopic ultrasound (EUS)-guided biliary drainage offers a new approach to relieve bile duct obstruction, avoiding external catheters. This technique is gaining traction due to its combined benefits and patient comfort.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
Background:
- Endoscopic ultrasound (EUS)-guided biliary drainage is an emerging technique.
- It combines advantages of endoscopic and percutaneous approaches.
- It avoids the inconveniences of indwelling external catheters.
Purpose of the Study:
- To describe the emerging technique of EUS-guided biliary drainage.
- To highlight the growing interest and experience in this procedure.
Main Methods:
- Several EUS-guided techniques have been developed.
- These techniques access the obstructed biliary tree from the stomach or duodenum.
- Technique selection depends on stricture location, patient anatomy, and endoscopist experience.
Main Results:
- Growing interest and experience in EUS-biliary drainage have been observed.
- Various EUS-guided techniques are available for accessing the biliary tree.
Conclusions:
- EUS-guided biliary drainage is a promising alternative to traditional methods.
- The technique offers a less invasive option for managing biliary obstruction.
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