Endoscopic Ultrasound Guided Biliary Drainage in Surgically Altered Anatomy: A Comprehensive Review of Various Approaches

Overview

Journal World J Gastrointest Endosc

Publisher Baishideng Publishing Group

Date 2023 Apr 10

PMID 37034975

Authors

Sridhar Sundaram

Aditya Kale

Affiliations

Soon will be listed here.

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred modality for drainage of the obstructed biliary tree. In patients with surgically altered anatomy, ERCP using standard techniques may not be feasible. Enteroscope assisted ERCP is usually employed with variable success rate. With advent of endoscopic ultrasound (EUS), biliary drainage procedures in patients with biliary obstruction and surgically altered anatomy is safe and effective. In this narrative review, we discuss role of EUS guided biliary drainage in patients with altered anatomy and the various approaches used in patients with benign and malignant biliary obstruction.

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