EUS-guided biliary drainage for difficult cannulation

Keiichi Hatamaru; Masayuki Kitano

doi:10.4103/eus.eus_60_19

EUS-guided biliary drainage for difficult cannulation

Endosc Ultrasound. 2019 Nov 28;8(Suppl 1):S67-S71. doi: 10.4103/eus.eus_60_19. eCollection 2019 Nov.

Authors

Keiichi Hatamaru¹, Masayuki Kitano¹

Affiliation

¹ Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.

Abstract

EUS-guided biliary drainage (EUS-BD) has been recognized as a new alternative to failed ERCP. The alternatives for failed/impossible ERCP in cases of difficult and selective bile duct cannulation include percutaneous transhepatic BD (PTBD) with precut papillotomy. EUS-BD is reportedly more convenient than PTBD and more successful than precut papillotomy, suggesting that EUS-BD is the next step following failed/impossible ERCP.

Keywords: EUS-guided biliary drainage; percutaneous transhepatic biliary drainage; precut papillotomy technique.

Publication types

Review