Role of endoscopic ultrasound-guided biliary drainage for palliation of malignant biliary obstruction  

作　　者：Sahib Singh Saurabh Chandan Antonio Facciorusso 

机构地区：[1]Department of Internal Medicine,Sinai Hospital,Baltimore,MD 21215,United States [2]Center for Interventional Endoscopy(CIE),Advent Health,Orlando,FL 32803,United States [3]Gastroenterology Unit,Department of Medical and Surgical Sciences,University of Foggia,Foggia 71122,Italy

出　　处：《World Journal of Gastrointestinal Surgery》2024年第8期2369-2373,共5页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Endoscopic ultrasound-guided biliary drainage(EUS-BD)directs bile flow into the digestive tract and has been mostly used in patients with malignant biliary obstruction(MBO)where endoscopic retrograde cholangiopancreatography-guided biliary drainage was unsuccessful or was not feasible.Lumen apposing metal stents(LAMS)are deployed during EUS-BD,with the newer electrocautery-enhanced LAMS reducing procedure time and complication rates due to the inbuilt cautery at the catheter tip.EUS-BD with electrocautery-enhanced LAMS has high technical and clinical success rates for palliation of MBO,with bleeding,cholangitis,and stent occlusion being the most common adverse events.Recent studies have even suggested comparable efficacy between EUS-BD and endosc-opic retrograde cholangiopancreatography as the primary approach for distal MBO.In this editorial,we commented on the article by Peng et al published in the recent issue of the World Journal of Gastrointestinal Surgery in 2024.

关 键 词：Endoscopic ultrasound Endoscopic ultrasound guided biliary drainage CANCER PANCREAS Bile duct ENDOSCOPY 

分 类 号：R735.8[医药卫生—肿瘤]