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Updated: Jan 28, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Percutaneous biliary and gallbladder interventions].
C Radosa1, F Schaab2, T Hofmockel2
1Institut und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Carl-Gustav-Carus, TU Dresden, Fetscherstraße 74, Haus 27, 01307, Dresden, Deutschland. christoph.radosa@uniklinikum-dresden.de.
Percutaneous transhepatic interventions offer safe and effective treatment for biliary tract diseases when endoscopic methods fail. These procedures provide crucial diagnostic and therapeutic options for various gallbladder and bile duct conditions.
Area of Science:
- Interventional Radiology
- Hepatobiliary Medicine
- Gastroenterology
Background:
- Percutaneous transhepatic interventions are vital for diagnosing and treating biliary tract diseases.
- These procedures are employed when endoscopic approaches are not feasible or have been exhausted.
Purpose of the Study:
- To review the current knowledge and scope of percutaneous biliary and gallbladder interventions.
- To provide an overview of technical approaches for fundamental interventional procedures.
Main Methods:
- Technical success rates up to 99% were reported.
- Complication rates were observed to be up to a maximum of 26%.
Main Results:
- Indications included opacification of the biliary tree and treatment of pathologies like drainage and stenting.
- Percutaneous transhepatic biliary drainage is a key procedure discussed.
Conclusions:
- Percutaneous transhepatic biliary and gallbladder interventions demonstrate safety and efficacy.
- These interventions are effective for benign and malignant stenosis, postoperative complications, and high-risk patients with cholecystitis.
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