EUS-guided biliary drainage for postsurgical anatomy

Manol Jovani; Yervant Ichkhanian; Kia Vosoughi; Mouen A Khashab

doi:10.4103/eus.eus_53_19

EUS-guided biliary drainage for postsurgical anatomy

Endosc Ultrasound. 2019 Nov 28;8(Suppl 1):S57-S66. doi: 10.4103/eus.eus_53_19. eCollection 2019 Nov.

Authors

Manol Jovani^{1

2}, Yervant Ichkhanian³, Kia Vosoughi³, Mouen A Khashab³

Affiliations

¹ Clinical and Translational Epidemiology Unit, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
² Division of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
³ Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Abstract

ERCP is the mainstay of therapy for pancreatobiliary diseases in patients with native upper gastrointestinal (UGI) anatomy. However, when UGI anatomy is surgically altered, standard ERCP becomes technically challenging or not possible. In such instances, EUS-guided biliary drainage (EUS-BD) has been increasingly employed by advanced endoscopists as a safe and effective method of access to the biliary tree. In this study, we review the technical aspects and outcomes of EUS-BD in patients with surgical UGI anatomy.

Keywords: Advanced endoscopy; ERCP; EUS; Roux-en-Y gastric bypass; advanced endoscopy; bariatric surgery; biliary access; biliary stones; cholangiography; new technologies; surgically altered anatomy.

Publication types

Review