Endoscopic Ultrasound-Guided Biliary Drainage (EUS-BD)
Gastrointestinal Endoscopy Clinics of North America(2024)
摘要
Endoscopic ultrasound (EUS)-guided biliary drainage (BD) is a minimally invasive procedure that allows for biliary access when conventional endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful. The technique can be divided based on biliary access route: intrahepatic or extrahepatic, as well as on stenting approach: rendezvous approach (EUS-RV), antegrade placement, or transluminal (intra or extra hepatic) placement. There is no clear consensus on which approach is superior. Compared to percutaneous transhepatic biliary drainage, EUS-BD offers lower rates of adverse events without the need for an external drain. Compared to conventional ERCP, EUS-BD shows comparable, and in some cases superior, outcomes related to technical success, clinical success, and adverse events.
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关键词
ERCP,Transhepatic biliary drainage,Hepaticogastrostomy,Choledochoduodenostomy,Lumen-apposing metal stent
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