Journal Article Recent advances in endoscopic ultrasonography-guided biliary interventions

Kawakubo, Kazumichi  ,  Kawakami, Hiroshi  ,  Kuwatani, Masaki  ,  Haba, Shin  ,  Kawahata, Shuhei  ,  Abe, Yoko  ,  Kubota, Yoshimasa  ,  Kubo, Kimitoshi  ,  Isayama, Hiroyuki  ,  Sakamoto, Naoya

21 ( 32 )  , pp.9494 - 9502 , 2015-08-29 , Baishideng Publishing Group
Interventional endoscopic ultrasonography (EUS) based on EUS-guided fine-needle aspiration has rapidly spread as a minimally invasive procedure. Especially in patients with failed endoscopic retrograde cholangiopancreatography, EUS-guided biliary intervention is reported to be useful as salvage therapy. EUS-guided biliary interventions are carried out using three techniques: EUS-guided bilioenteric anastomosis, EUS-guided rendezvous procedure, and EUS-guided antegrade treatment. Although interventional EUS is not yet a standardized procedure, there have been recent advances in this field that address various biliary diseases. Here, we summarize the indications, techniques, clinical results of previous studies, and future perspectives.

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