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Updated: Jun 10, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) as first-line treatment for malignant distal biliary
Claudia Álvarez Varela1, José Ramón Foruny Olcina2, Sergio López-Durán1
1Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, España.
Abstract:
In patients with malignant distal biliary obstruction, drainage via Endoscopic Ultrasound-guided Choledochoduodenostomy (EUS-CDS) is indicated in clinical guidelines following a failed Endoscopic Retrograde Cholangiopancreatography (ERCP). However, current interest lies in evaluating its role as a first-line treatment. Through this letter, we present a case report that represents this clinical scenario, as well as a brief summary of the most recent literature supporting the use of EUS-CDS as a first-line treatment for malignant distal biliary obstruction.
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