Kahaleh M, Artifon EL, Perez-Miranda M, Gaidhane M, Rondon C, Itoi T, Giovannini M. Endoscopic ultrasonography guided drainage: Summary of consortium meeting, May 21, 2012, San Diego, California. World J Gastroenterol 2015; 21(3): 726-741 [PMID: PMC4299327 DOI: 10.3748/wjg.v21.i3.726]
Corresponding Author of This Article
Michel Kahaleh, MD, AGAF, FACG, FASGE, Chief of Endoscopy, Professor of Clinical Medicine, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical College, 1305 York Avenue, 4th Floor, New York, NY 10021, United States. mkahaleh@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jan 21, 2015; 21(3): 726-741 Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.726
Endoscopic ultrasonography guided drainage: Summary of consortium meeting, May 21, 2012, San Diego, California
Michel Kahaleh, Everson LA Artifon, Manuel Perez-Miranda, Monica Gaidhane, Carlos Rondon, Takao Itoi, Marc Giovannini
Michel Kahaleh, Monica Gaidhane, Carlos Rondon, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical Center, New York, NY 10021, United States
Everson LA Artifon, Department of Surgery, University of Sao Paulo Medical School, Sao Paulo 05403-000, Brazil
Manuel Perez-Miranda, Endoscopy Unit, Hospital Universitario Rio Hortega, 47012 Valladolid, Spain
Takao Itoi, Department of Gastroenterology and Hematology, Tokyo Medical University, Tokyo 160-0023, Japan
Marc Giovannini, Department of Gastroenterology, Paoli-Calmettes Institute, 13273 Marseille, France
Author contributions: Kahaleh M, Artifon ELA, Perez-Miranda M and Giovannini M designed and organized the meeting and provided summary results; Kahaleh M, Gaidhane M and Rondon C summarized the data and wrote the paper; Itoi T helped write the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Michel Kahaleh, MD, AGAF, FACG, FASGE, Chief of Endoscopy, Professor of Clinical Medicine, Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical College, 1305 York Avenue, 4th Floor, New York, NY 10021, United States. mkahaleh@gmail.com
Telephone: +1-646-9624000 Fax: +1-646-9620110
Received: February 18, 2014 Peer-review started: February 21, 2014 First decision: March 13, 2014 Revised: April 29, 2014 Accepted: June 21, 2014 Article in press: June 23, 2014 Published online: January 21, 2015 Processing time: 336 Days and 11.8 Hours
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary and pancreatic drainage. While ERCP is successful in about 95% of cases, a small subset of cases are unsuccessful due to altered anatomy, peri-ampullary pathology, or malignant obstruction. Endoscopic ultrasound-guided drainage is a promising technique for biliary, pancreatic and recently gallbladder decompression, which provides multiple advantages over percutaneous or surgical biliary drainage. Multiple retrospective and some prospective studies have shown endoscopic ultrasound-guided drainage to be safe and effective. Based on the currently reported literature, regardless of the approach, the cumulative success rate is 84%-93% with an overall complication rate of 16%-35%. endoscopic ultrasound-guided drainage seems a viable therapeutic modality for failed conventional drainage when performed by highly skilled advanced endoscopists at tertiary centers with expertise in both echo-endoscopy and therapeutic endoscopy
Core tip: This summary of the endoscopic ultrasound (EUS)-guided biliary drainage consortium held in 2012 focuses on technical improvements in both EUS-Guided biliary and pancreatic drainage techniques. This summary also provides a detailed overview of EUS-guided choledochoduodenostomy compared to percutaneous transhepatic cholangiography and surgical drainage. Other EUS Guided techniques such as endoscopic ultrasound-guided pancreatico-gastrostomy and endoscopic ultrasonography-guided cholecystoduodenostomy and cholecystogastrostomy have been discussed. Lastly, an extensive review of therapeutic endoscopic interventions in surgically altered anatomy has been provided as well.
