Endoscopic ultrasound-guided biliary drainage vs percutaneous transhepatic biliary drainage for malignant biliary obstruction after endoscopic retrograde cholangiopancreatography failure  

作　　者：He Zhao Xiao-Wu Zhang Peng Song Xiao Li 

机构地区：[1]Department of Interventional Therapy,National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China [2]Department of Interventional Therapy,National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第11期3614-3617,共4页世界胃肠外科杂志（英文）

基　　金：Supported by the National Natural Science Foundation of China,No.82001937 and No.82330061;the CAMS Initiative for Innovative Medicine,China,No.2021-I2M-1-015.

摘　　要：In a recent issue of the World Journal of Gastrointestinal Surgery,a meta-analysis investigated the safety and efficacy of electrocautery-enhanced lumen-apposing metal stent(ECE-LAMS)implantation for managing malignant biliary obstruction following failed endoscopic retrograde cholangiopancreatography.This manusc-ript endeavors to offer a comprehensive look at the progression of endoscopic ultrasound-guided biliary drainage(EUS-BD)technologies,weighing their merits and drawbacks against traditional percutaneous methods.Several meta-analyses and randomized controlled trials have compared the performance of EUS-BD and percutaneous transhepatic cholangiodrainage(PTCD).These studies revealed that the technical success rate,clinical success rate,and adverse events were similar between EUS-BD and PTCD.Nevertheless,given that most of these studies preda-te 2015,the safety and effectiveness of novel EUS-BD techniques,including ECE-LAMS,compared with those of percutaneous biliary drainage remain elusive.Further investigation is imperative to ascertain whether these novel EUS-BD techniques can safely and efficaciously replace conventional percutaneous thera-peutic approaches.

关 键 词：Malignant biliary obstruction Biliary drainage Endoscopic ultrasound Percutaneous transhepatic biliary drainage Endoscopic retrograde cholangiopancreatography 

分 类 号：R657.4[医药卫生—外科学]