Theme |
Progress in Endoscopic Ultrasonography for Biliopancreatic Diseases |
Title |
EUS—guided Biliary Drainage |
Publish Date |
2017/07 |
Author |
Takumi Maki |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Atsushi Irisawa |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Goro Shibukawa |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Ai Sato |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Akane Yamabe |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Mariko Fujisawa |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Noriyuki Arakawa |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Yoshitsugu Yoshida |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Tsunehiko Ikeda |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Yoko Abe |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Ryo Igarashi |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
Author |
Shogo Yamamoto |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
[ Summary ] |
Endoscopic ultrasound‒guided biliary drainage (EUS‒BD) has been recently performed as an alternative drainage technique after failed endoscopic retrograde cholangiography (ERC) related procedures. EUS‒BD is classified into four techniques ; 1) EUS‒guided choledochoduodenostomy (EUS‒CDS), 2) EUS‒guided hepaticogastrostomy (EUS‒HGS), 3) EUS‒rendezvous assited ERCP (EUS‒RV), 4) EUS‒guided antegrade stenting (EUS‒AGS). Although previous reports showed that the technical and clinical success rates were high, the rate of adverse events were not low. Therefore, it is important to consider the indication of EUS‒BD for obstructive jaundice. |