Outcomes of Endoscopic-ultrasound-guided Cholangiopancreatography: a Literature Review

Overview

Journal Gastroenterol Res Pract

Publisher Wiley

Specialty Gastroenterology

Date 2013 Apr 11

PMID 23573080

Citations 11

Authors

Shahzad Iqbal

David M Friedel

James H Grendell

Stavros N Stavropoulos

Affiliations

Soon will be listed here.

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) can fail in 3-10% of the cases even in experienced hands. Although percutaneous transhepatic cholangiography (PTC) and surgery are the traditional alternatives, there are morbidity and mortality associated with both. In this paper, we have discussed the efficacy and safety of endoscopic-ultrasound-guided cholangiopancreatography (EUS-CP) in decompression of biliary and pancreatic ducts. The overall technical and clinical success rates are around 90% for biliary and 70% for pancreatic duct drainage. The overall EUS-CP complication rate is around 15%. EUS-CP is, however, a technically challenging procedure and should be performed by an experienced endoscopist skilled in both EUS and ERCP. Same session EUS-CP as failed initial ERCP is practical and may result in avoidance of additional procedures. With increasing availability of endoscopists trained in both ERCP and EUS, the role of EUS-CP is likely to grow in clinical practice.

Citing Articles

EUS-guided biliary drainage: A realistic perspective.

Barakat M, Adler D Endosc Ultrasound. 2021; 10(4):227-229.

PMID: 34396991 PMC: 8411561. DOI: 10.4103/EUS-D-21-00173.

EUS-guided drainage: Summary of therapeutic EUS consortium meeting.

Kahaleh M, Artifon E, Perez-Miranda M, Gaidhane M, Rondon C, Freeman M Endosc Ultrasound. 2019; 8(3):151-160.

PMID: 31134899 PMC: 6590008. DOI: 10.4103/eus.eus_26_19.

A review of endoscopic ultrasound guided endoscopic retrograde cholangiopancreatography techniques in patients with surgically altered anatomy.

Shah R, Tarnasky P, Kedia P Transl Gastroenterol Hepatol. 2019; 3:90.

PMID: 30603726 PMC: 6286912. DOI: 10.21037/tgh.2018.10.10.

Endoscopic ultrasound: Current roles and future directions.

Friedberg S, Lachter J World J Gastrointest Endosc. 2017; 9(10):499-505.

PMID: 29085560 PMC: 5648992. DOI: 10.4253/wjge.v9.i10.499.

Endoscopic ultrasound-guided pancreaticobiliary intervention in patients with surgically altered anatomy and inaccessible papillae: A review of current literature.

Martin A, Kistler C, Wrobel P, Yang J, Siddiqui A Endosc Ultrasound. 2016; 5(3):149-56.

PMID: 27386471 PMC: 4918297. DOI: 10.4103/2303-9027.183969.

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