Endoscopic Ultrasonography-Guided Techniques for Accessing and Draining the Biliary System and the Pancreatic Duct - 16/09/17

Doi : 10.1016/j.giec.2017.06.006

Mihai Rimbaş, MD, PhD ^a,^b,^c, Alberto Larghi, MD, PhD ^c,^⁎
^a Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania
^b Internal Medicine Department, Carol Davila University of Medicine, Bucharest, Romania
^c Digestive Endoscopy Unit, Catholic University, Rome, Italy

^∗Corresponding author. Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, Rome 00168, Italy.Università Cattolica del Sacro CuoreLargo A. Gemelli 8Rome00168Italy

Résumé

When endoscopic retrograde cholangiopancreatography (ERCP) fails to decompress the biliary system or the pancreatic duct, endoscopic ultrasonography (EUS)-guided biliary or pancreatic access and drainage can be used. Data show a high success rate and acceptable adverse event rate for EUS-guided biliary drainage. The outcomes of EUS-guided biliary drainage seem equivalent to percutaneous drainage and ERCP, whereas only retrospective studies are available for pancreatic duct drainage. In this article, revision of the technical and clinical status and the current evidence of interventional EUS-guided biliary and pancreatic duct access and drainage are presented.

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Keywords : EUS-guided biliary access, EUS-guided biliary drainage, EUS-guided pancreatic duct access, EUS-guided pancreatic duct drainage