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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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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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Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Related Experiment Video

Updated: Sep 8, 2025

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

Vinay Dhir1, Rahul Shah1, Priyanka Udawat1

  • 1Division of Endosonography, Institute of Digestive and Liver Care, SL Raheja Hospital-A Fortis Associate, Mumbai 400016, India.

Gastrointestinal Endoscopy Clinics of North America
|June 12, 2022
PubMed
Summary

Endoscopic ultrasound (EUS)-guided biliary drainage offers an alternative for patients with failed ERCP or complex anatomy. This advanced technique provides flexible access and stent placement options, potentially bypassing obstructions.

Keywords:
Biliary drainageERCPEUSObstructive jaundice

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Area of Science:

  • Gastroenterology and Endoscopy
  • Interventional Radiology
  • Biliary Interventions

Background:

  • Endoscopic ultrasound (EUS)-guided biliary interventions are increasingly vital in advanced gastrointestinal endoscopy.
  • EUS-guided biliary drainage serves as a viable alternative for patients experiencing failed endoscopic retrograde cholangiopancreatography (ERCP) or those with altered surgical anatomy.
  • Key advantages include flexible biliary access and stent deployment from the stomach or duodenum, potentially circumventing obstructions.

Purpose of the Study:

  • To review the evolution and applications of EUS-guided biliary interventions.
  • To highlight the benefits and procedural variations based on obstruction level.
  • To identify areas requiring further research, particularly for hilar obstructions and benign conditions.

Main Methods:

  • Review of existing literature and case series on EUS-guided biliary interventions.
  • Analysis of procedural techniques and outcomes for various biliary obstructions.
  • Evaluation of evidence supporting EUS-guided drainage in different clinical scenarios.

Main Results:

  • EUS-guided biliary drainage is established for distal malignant obstructions.
  • The technique offers advantages in access, stent placement, and avoiding traversal of the obstruction.
  • Evidence is strongest for distal malignant obstructions, with less data for hilar and benign indications.

Conclusions:

  • EUS-guided biliary interventions are a significant advancement in managing biliary obstructions.
  • Further research is needed to expand the application and evidence base for hilar obstructions and benign biliary diseases.
  • EUS offers a valuable alternative when conventional methods fail or are not feasible.