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Kumta NA, Kedia P, Kahaleh M. Endoscopic ultrasound-guided biliary drainage: an update. Curr Treat Options Gastroenterol. 2014;12(2):154-68doi: 10.1007/s11938-014-0011-1.
Kumta, N. A., Kedia, P., & Kahaleh, M. (2014). Endoscopic ultrasound-guided biliary drainage: an update. Current treatment options in gastroenterology, 12(2), 154-68. https://doi.org/10.1007/s11938-014-0011-1
Kumta, Nikhil A, et al. "Endoscopic ultrasound-guided biliary drainage: an update." Current treatment options in gastroenterology vol. 12,2 (2014): 154-68. doi: https://doi.org/10.1007/s11938-014-0011-1
Kumta NA, Kedia P, Kahaleh M. Endoscopic ultrasound-guided biliary drainage: an update. Curr Treat Options Gastroenterol. 2014 Jun;12(2):154-68. doi: 10.1007/s11938-014-0011-1. PMID: 24623591.
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Curr Treat Options Gastroenterol. 2014 Jun;12(2):154-68. doi: 10.1007/s11938-014-0011-1.

Endoscopic ultrasound-guided biliary drainage: an update.

Current treatment options in gastroenterology

Nikhil A Kumta, Prashant Kedia, Michel Kahaleh

Affiliations

  1. Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY, 10021, USA.

PMID: 24623591 DOI: 10.1007/s11938-014-0011-1

Abstract

OPINION STATEMENT: Endoscopic retrograde cholangiopancreatography (ERCP) is currently the preferred procedure for biliary drainage in both benign and malignant obstructions. While ERCP is successful in approximately 95 % of cases, a small subset of cases are unsuccessful due to variant anatomy, ampullary pathology, or malignant luminal obstruction. Endoscopic ultrasound-guided biliary drainage (EUS-BD) is a promising route for biliary decompression that provides multiple advantages over percutaneous and surgical biliary drainage. Multiple retrospective as well as some prospective studies have shown EUS-BD to be safe and effective. Based on the current literature, the cumulative success rate is 84-93 %, regardless of the approach, with an overall complication rate of 16-35 %. EUS-BD appears to a viable therapeutic modality for failed ERCP when performed by highly skilled advanced endoscopists at tertiary centers with expertise in both echo-endoscopy and biliary endoscopy. Larger prospective multicenter randomized comparative studies are needed to further define indications, outcomes, and complications.

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