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GE-Portuguese Journal of Gastroenterology
versión impresa ISSN 2341-4545versión On-line ISSN 2387-1954
Resumen
NUNES, Nuno et al. GRUPUGE PERSPECTIVE: Endoscopic Ultrasound-Guided Biliary Drainage. GE Port J Gastroenterol [online]. 2021, vol.28, n.3, pp.179-184. Epub 01-Feb-2022. ISSN 2341-4545. https://doi.org/10.1159/000510026.
Endoscopic ultrasound-guided biliary drainage (EUS-BD) is an alternative to percutaneous and surgical drainage in bile duct obstruction when endoscopic retrograde cholangiopancreatography fails. EUS-BD can be achieved with several techniques, including EUS-guided hepaticogastrostomy (HGS), anterograde transpapillary stent placement, choledochoduodenostomy (CDS), and rendez-vous technique. Lately, with increased experience and development of directed equipment, elevated technical and clinical success as well of lower adverse event rates have been reported. In this article, GRUPUGE presents an updated perspective of the potential role of EUS-guided biliary drainage, addressing the selection criteria and technical issues of different techniques and analyzing recent data on their safety and efficacy.
Palabras clave : Endoscopic ultrasound; Biliary obstruction; Biliary drainage; Hepaticogastrostomy; Choledochoduodenostomy; Rendez-vous technique; Gallbladder drainage.