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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Drainage Approach for Malignant Biliary Obstruction: A Changing Paradigm.

Ian Eisenberg1, Monica Gaidhane2, Michel Kahaleh2

  • 1Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, MD.

Journal of Clinical Gastroenterology
|April 20, 2023
PubMed
Summary

Endoscopic ultrasound (EUS)-guided biliary drainage is a viable alternative to endoscopic retrograde cholangiopancreatography (ERCP) for malignant biliary obstruction. Emerging evidence shows EUS techniques are non-inferior, potentially superior, for palliation.

Area of Science:

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  • Gastroenterology
  • Interventional Endoscopy

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is the standard for unresectable malignant biliary obstruction.
  • Endoscopic ultrasound (EUS)-guided biliary drainage is increasingly used for complex cases where ERCP fails or is not feasible.

Conclusions:

  • EUS-guided biliary drainage is a promising alternative to ERCP for malignant biliary obstruction.
  • Further comparative studies support the role of EUS in biliary drainage and palliation.