Leung Ki EL, Napoleon B. Endoscopic ultrasound-guided biliary drainage: A change in paradigm? World J Gastrointest Endosc 2019; 11(5): 345-353 [PMID: 31205595 DOI: 10.4253/wjge.v11.i5.345]
Corresponding Author of This Article
Bertrand Napoleon, MD, Doctor, Consultant Specialist Gastroenterologist, Department of Gastroenterology, Jean Mermoz Private Hospital, 55 avenue Jean Mermoz, Lyon 69008, France. dr.napoleon@wanadoo.fr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
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 Gastrointest Endosc. May 16, 2019; 11(5): 345-353 Published online May 16, 2019. doi: 10.4253/wjge.v11.i5.345
Endoscopic ultrasound-guided biliary drainage: A change in paradigm?
En-Ling Leung Ki, Bertrand Napoleon
En-Ling Leung Ki, Bertrand Napoleon, Department of Gastroenterology, Jean Mermoz Private Hospital, 55 avenue Jean Mermoz, Lyon 69008, France
Author contributions: Both EL Leung Ki and Napopleon B contributed to the writing, editing, and final approval of the manuscript.
Conflict-of-interest statement: Dr En-Ling Leung Ki EL declares no conflicts of interest. Dr Bertrand Napoleon declares educational fees and non-financial support from Boston Scientific, educational fees from Maunakea Technology, educational fees from Ipsen Pharma, educational fees from Cousin Endosurg, educational fees and non-financial support from Olympus, outside the submitted work.
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/
Corresponding author: Bertrand Napoleon, MD, Doctor, Consultant Specialist Gastroenterologist, Department of Gastroenterology, Jean Mermoz Private Hospital, 55 avenue Jean Mermoz, Lyon 69008, France. dr.napoleon@wanadoo.fr
Telephone: +33-478-757870 Fax: +33-478-742655
Received: March 18, 2019 Peer-review started: March 20, 2019 First decision: May 8, 2019 Revised: May 11, 2019 Accepted: May 13, 2019 Article in press: May 14, 2019 Published online: May 16, 2019 Processing time: 60 Days and 2.7 Hours
Abstract
Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been developed as an alternative means of biliary drainage for malignant biliary obstruction (MBO). Compared to percutaneous transhepatic biliary drainage, EUS-BD offers effective internal drainage in a single session in the event of failed endoscopic retrograde cholangiopancreatography and has fewer adverse events (AE). In choosing which technique to use for EUS-BD, a combination of factors appears to be important in decision-making; technical expertise, the risk of AE, and anatomy. With the advent of novel all-in-one EUS-BD specific devices enabling simpler and safer techniques, as well as the growing experience and training of endosonographers, EUS-BD may potentially become a first-line technique in biliary drainage for MBO.
Core tip: Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been developed as an alternative means of biliary drainage for malignant biliary obstruction. EUS-BD must replace percutaneous transhepatic biliary drainage as the salvage procedure of choice in failed endoscopic retrograde cholangiopancreatography when endoscopic expertise is available. The advent of novel all-in-one EUS-BD specific devices, as well as the growing experience and training of endosonographers are promising for the development of EUS-BD as a first-line technique.
