Endoscopic ultrasound-guided biliary drainage:Are we there yet?  

作　　者：Rishi Pawa Troy Pleasant Chloe Tom Swati Pawa 

机构地区：[1]Department of Internal Medicine,Section of Gastroenterology and Hepatology,Wake Forest Baptist Medical Center,Winston-Salem,NC 27157,United States [2]Department of Medicine,Wake Forest School of Medicine,Winston-Salem,NC 27101,United States

出　　处：《World Journal of Gastrointestinal Endoscopy》2021年第8期302-318,共17页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：Endoscopic retrograde cholangiopancreatography(ERCP)is the mainstay procedure of choice for management of obstructive biliary disease.While ERCP is widely performed with high success rates,the procedure is not feasible in every patient such as cases of non-accessible papilla.In the setting of unsuccessful ERCP,endoscopic ultrasound-guided biliary drainage(EUS-BD)has become a promising alternative to surgical bypass and percutaneous biliary drainage(PTBD).A variety of different forms of EUS-BD have been described,allowing for both intrahepatic and extrahepatic approaches.Recent studies have reported high success rates utilizing EUS-BD for both transpapillary and transluminal drainage,with fewer adverse events when compared to PTBD.Advancements in novel technologies designed specifically for EUS-BD have led to increased success rates as well as improved safety profile for the procedure.The techniques of EUS-BD are yet to be fully standardized and are currently performed by highly trained advanced endoscopists.The aim of our review is to highlight the different EUSguided interventions for achieving biliary drainage and to both assess the progress that has been made in the field as well as consider what the future may hold.

关 键 词：Endoscopic ultrasound-guided biliary drainage Endoscopic ultrasound-guided rendezvous Endoscopic ultrasound-guided choledochoduodenostomy Endoscopic ultrasound-guided hepaticogastrostomy Endoscopic ultrasound-guided gallbladder drainage Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography 

分 类 号：R657.4[医药卫生—外科学]