EUS-guided biliary drainage: A comprehensive review of the literature

Baars, Jan; Kaffes, Arthur J.; Saxena, Payal

doi:10.4103/eus.eus_105_17

Cited by 58 publications

(34 citation statements)

References 32 publications

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“…When comparing intrahepatic with extrahepatic biliary decompression, there is no difference in success rate (90.4% vs 84.3%) and overall outcome (32.6% vs 35.6%) between two approaches. 106 Accuracy The efficacy and technical success rate of EUS-BD is improving. The rate of complications can be reduced by performing this procedure in expert centres.…”

Section: Accuracymentioning

confidence: 99%

Endoscopic ultrasound (EUS) and the management of pancreatic cancer

Yousaf

Chaudhary

Ehsan

et al. 2020

BMJ Open Gastroenterol

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Pancreatic cancer is one of the leading causes of cancer-related mortality in western countries. Early diagnosis of pancreatic cancers plays a key role in the management by identification of patients who are surgical candidates. The advancement in the radiological imaging and interventional endoscopy (including endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography and endoscopic enteral stenting techniques) has a significant impact in the diagnostic evaluation, staging and treatment of pancreatic cancer. The multidisciplinary involvement of radiology, gastroenterology, medical oncology and surgical oncology is central to the management of patients with pancreatic cancers. This review aims to highlight the diagnostic and therapeutic role of EUS in the management of patients with pancreatic malignancy, especially pancreatic ductal adenocarcinoma.

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Section: Accuracymentioning

confidence: 99%

Endoscopic ultrasound (EUS) and the management of pancreatic cancer

Yousaf

Chaudhary

Ehsan

et al. 2020

BMJ Open Gastroenterol

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“…Intrahepatic EUS-BD involves puncture of a dilated left intrahepatic biliary radicle under EUS guidance through the lesser curvature of the stomach followed by tract dilation and antegrade stent placement (transpapillary) or placement of a metal stent between the stomach and the liver (EUS-guided hepaticogastrostomy) ( Figure 4) [32]. Extrahepatic EUS-BD can be achieved for distal biliary obstructions by draining the dilated common bile duct under EUS guidance directly into the duodenum (EUS-guided choledochoduodenostomy) or by draining the distended gall bladder into the gastric antrum or duodenum in cases where the cystic duct is patent [33]. While the EUS-guided hepaticogastrostomy and choledochoduodenostomy methods bypass the stricture by forming an alternate route, EUS-RV aims to cannulate the stricture to increase forward flow of the bile.…”

Section: Endoscopic Ultrasound-guided Biliary Drainagementioning

confidence: 99%

Endoscopic Management of Malignant Biliary Stricture

Dorrell

Pawa

2020

Diagnostics

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A biliary stricture is an area of narrowing in the extrahepatic or intrahepatic biliary system. The majority of biliary strictures are caused by malignancies, particularly cholangiocarcinoma and pancreatic adenocarcinoma. Most malignant biliary strictures are unresectable at diagnosis. Treatment of these diseases historically required surgical procedures, however, the development of endoscopic techniques has provided alternative minimally invasive treatment options to improve patient quality of life and survival with unresectable disease. While endoscopic retrograde cholangiopancreatography with stent placement has been the cornerstone of biliary drainage for decades, cutting edge endoscopic developments, including radiofrequency ablation and endoscopic ultrasound-guided biliary drainage, offer new therapy options to patients that historically have a poor quality of life and a grim prognosis. In this review, we explore the endoscopic techniques that have contributed to revolutionary advancements in the endoscopic management of malignant biliary strictures.

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“…In a few recent publications, current indications for EUS-BD include failed ERCP in experienced hands, inaccessible major papilla, surgically altered anatomy, conversion of PTBD to EUS-BD, and as a primary method for BD. 5 Interestingly, most of the previous literature has shown only the role of EUS-BD in distal biliary obstruction (DBO). 6 For HCCA with Bismuth Corlette class III, IV or more advanced MHBO (complex MHBO), pattern of biliary obstruction is different from that of DBO.…”

Section: Indications For Eus-bd In Malignant Biliary Obstructionmentioning

confidence: 99%

Combination of endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography‐guided biliary drainage in malignant hilar biliary obstruction

Kongkam

Tasneem

Rerknimitr

2019

Digestive Endoscopy

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Adequate biliary drainage (BD), defined as more than 50% of liver volume drained, is an ideal BD method in patients with advanced and unresectable malignant hilar biliary obstruction (MHBO). Endoscopic retrograde cholangiopancreatography (ERCP) with multi‐segmental BD is technically challenging. ERCP with percutaneous biliary drainage (PTBD) or PTBD alone has cumbersome maintenance of PTBD line and external bag. The utility of EUS‐guided BD (EUS‐BD) has risen significantly over last 5 years mostly in the clinical setting of distal bile duct obstruction. Information on EUS‐BD for malignant hilar biliary obstruction (MHBO) is thus far limited to only two small studies. This review suggests a new concept of a combination of ERCP and EUS‐BD (CERES) for BD in MHBO as a primary BD method whereby ERCP with a single self‐expandable metal stent (SEMS) is placed into either the right or the left intrahepatic bile duct (IHD). If SEMS is placed in the right biliary system, EUS‐guided hepaticogastrostomy (EUS‐HGS) can subsequently be carried out. However, if the stent is placed into the left biliary system, EUS‐guided hepaticoduodenostomy (EUS‐HDS) is done. For MHBO with non‐functioning right lobe of the liver, EUS‐HGS is carried out after failed ERCP, or primary HGS can be carried out in the left lobe of liver. For MHBO with non‐functioning left lobe of the liver, EUS‐HDS is carried out after failed transpapillary stenting of the right lobe by ERCP. Based on our experience, CERES is promising as it can fulfil gaps of both PTBD and ERCP by allowing internal drainage that can circumvent the inconvenience associated with PTBD and offer higher technical success rate compared to ERCP with bilateral SEMS placement.

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EUS-guided biliary drainage: A comprehensive review of the literature

Cited by 58 publications

References 32 publications

Endoscopic ultrasound (EUS) and the management of pancreatic cancer

Endoscopic ultrasound (EUS) and the management of pancreatic cancer

Endoscopic Management of Malignant Biliary Stricture

Combination of endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography‐guided biliary drainage in malignant hilar biliary obstruction

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