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Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Dec 31, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

EUS-guided biliary drainage for difficult cannulation.

Keiichi Hatamaru¹, Masayuki Kitano¹

¹Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.

Endoscopic Ultrasound

|January 4, 2020

Summary

This summary is machine-generated.

Endoscopic retrograde cholangiopancreatography (ERCP) failure can be managed with EUS-guided biliary drainage (EUS-BD). EUS-BD offers a more convenient and successful alternative to percutaneous transhepatic biliary drainage (PTBD) and precut papillotomy for complex cases.

Keywords:

EUS-guided biliary drainage percutaneous transhepatic biliary drainage precut papillotomy technique

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Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

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Area of Science:

Gastroenterology
Interventional Endoscopy

Background:

Endoscopic retrograde cholangiopancreatography (ERCP) is the standard for biliary interventions but can fail.
Alternative methods like percutaneous transhepatic biliary drainage (PTBD) and precut papillotomy exist for difficult ERCP cases.

Purpose of the Study:

To evaluate EUS-guided biliary drainage (EUS-BD) as a primary alternative to failed or impossible ERCP.
To compare the efficacy and convenience of EUS-BD with existing alternatives.

Main Methods:

Review of existing literature and case studies on EUS-BD.
Comparison of success rates and procedural complexities between EUS-BD, PTBD, and precut techniques.

Main Results:

EUS-BD demonstrates higher success rates compared to precut papillotomy for difficult bile duct cannulation.
EUS-BD is reported to be more convenient and less invasive than PTBD.

Conclusions:

EUS-guided biliary drainage (EUS-BD) is emerging as a superior next-step therapeutic option after failed or impossible ERCP.
EUS-BD offers a promising, effective, and convenient alternative for managing complex biliary obstructions.