Endoscopic ultrasound-guided choledochoduodenostomy for malignant lower biliary tract obstruction

Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) is a novel alternative to percutaneous transhepatic biliary drainage, when endoscopic retrograde cholangiopancreatography is unsuccessful in patients with malignant lower biliary obstruction. Some case series and a few prospective studies...

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Published inGastrointestinal endoscopy clinics of North America Vol. 22; no. 2; p. 259
Main Authors Yamao, Kenji, Hara, Kazuo, Mizuno, Nobumasa, Hijioka, Susumu, Imaoka, Hiroshi, Bhatia, Vikram, Shimizu, Yasuhiro
Format Journal Article
LanguageEnglish
Published United States 01.04.2012
Subjects
Choledochostomy - adverse effects
Choledochostomy - instrumentation
Choledochostomy - methods
Cholestasis - etiology
Cholestasis - therapy
Digestive System Neoplasms - complications
Endosonography
Humans
Stents
Ultrasonography, Interventional - methods
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Summary:Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) is a novel alternative to percutaneous transhepatic biliary drainage, when endoscopic retrograde cholangiopancreatography is unsuccessful in patients with malignant lower biliary obstruction. Some case series and a few prospective studies of EUS-CDS have reported high technical and functional success rates but with the downside of high early complication rates, albeit mostly nonsevere. In addition, the stents placed by EUS-CDS had a longer patency than transpapillary biliary stents.
ISSN:1558-1950
DOI:10.1016/j.giec.2012.04.008