KMID : 1048120160050030203
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International Journal of Gastrointestinal Intervention 2016 Volume.5 No. 3 p.203 ~ p.211
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Endoscopic ultrasound-guided biliary drainage
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Almadi Majid A.
Pausawasdi Nonthalee Ratanchuek Thawee Teoh Anthony Yuen Bun Ho Khek Yu Dhir Vinay
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Abstract
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Endoscopic ultrasound-guided biliary drainage (EUS-BD) is emerging as a safe and effective alternative for endoscopic BD. The advantage of multiple access points from stomach and duodenum allows EUS-BD in patients with altered surgical anatomy and duodenal stenosis. EUS-BD is also useful in patients with failed endoscopic retrograde cholangiopancreatography or difficult biliary cannulation. Depending on the access and exit route of the stent, a variety of EUS-BD procedures have been described. Trans-papillary as well as trans-luminal stent placements are possible with EUS-BD. Recent studies have shown a clinical success rate in excess of 90% and complication rates of < 15%. Prospective studies are needed to know the long-term results and relative efficacy of this technique.
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KEYWORD
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Bile duct diseases, Biliary tract neoplasms, Endoscopic retrograde cholangiopancreatography, Endosonography, Jaundice, obstructive
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