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Hara, Kazuo; Yamao, Kenji; Mizuno, Nobumasa; Hijioka, Susumu; Imaoka, Hiroshi; Tajika, Masahiro; Tanaka, Tutomu; Ishihara, Makoto; Okuno, Nozomi; Hieda, Nobuhiro; Yoshida, Tukasa; Niwa, Yasumasa
World journal of gastroenterology, 01/2016, Letnik: 22, Številka: 3Journal Article
Both endoscopic ultrasonography (EUS)-guided choledochoduodenostomy (EUS-CDS) and EUSguidedhepaticogastrostomy (EUS-HGS) are relativelywell established as alternatives to percutaneoustranshepatic biliary drainage (PTBD). Both EUSCDSand EUS-HGS have high technical and clinicalsuccess rates (more than 90%) in high-volume centers.Complications for both procedures remain high at10%-30%. Procedures performed by endoscopistswho have done fewer than 20 cases sometimes resultin severe or fatal complications. When learning EUSguidedbiliary drainage (EUS-BD), we recommend amentor's supervision during at least the first 20 cases.For inoperable malignant lower biliary obstruction,a skillful endoscopist should perform EUS-BD beforeEUS-guided rendezvous technique (EUS-RV) andPTBD. We should be select EUS-BD for patientshaving altered anatomy from malignant tumors beforeballoon-enteroscope-assisted endoscopic retrogradecholangiopancreatography, EUS-RV, and PTBD. Ifboth EUS-CDS and EUS-HGS are available, we shouldselect EUS-CDS, according to published data. EUSBDwill potentially become a first-line biliary drainageprocedure in the near future.
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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