EUS-guided biliary drainage for postsurgical anatomy

Manol Jovani, Yervant Ichkhanian, Kia Vosoughi, Mouen Khashab

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)S57-S66
JournalEndoscopic Ultrasound
Volume8
Issue number7
DOIs
StatePublished - Nov 2019

Keywords

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

ASJC Scopus subject areas

  • Hepatology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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