Review
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jan 16, 2015; 7(1): 37-44
Published online Jan 16, 2015. doi: 10.4253/wjge.v7.i1.37
Endoscopic ultrasound-guided biliary drainage as an alternative to percutaneous drainage and surgical bypass
Varayu Prachayakul, Pitulak Aswakul
Varayu Prachayakul, Siriraj GI Endoscopy Center, Division of Gastroenterology, Department of Internal Medicine, Siriraj Hospital, Faculty of Medicine, Mahidol University, Bangkok 10700, Thailand
Pitulak Aswakul, Liver and Digestive Institute, Samitivej Sukhumvit Hospital, Bangkok 10120, Thailand
Author contributions: Prachayakul V designed the concept; Prachayakul V and Aswakul P reviewed that literature, wrote and revised the manuscript.
Conflict-of-interest: Prachayakul V and Aswakul P declared no conflict of interest regarded this article.
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: Varayu Prachayakul, MD, Siriraj GI Endoscopy Center, Division of Gastroenterology Department of Internal Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. kaiyjr@gmail.com
Telephone: +66-818-654646 Fax: +66-241-15013
Received: September 26, 2014
Peer-review started: September 28, 2014
First decision: November 19, 2014
Revised: November 21, 2014
Accepted: December 16, 2014
Article in press: December 17, 2014
Published online: January 16, 2015
Processing time: 111 Days and 14 Hours
Core Tip

Core tip: Failure of endoscopic retrograde cholangiopancreatography occurs in 5%-10% of the cases from many etiologies. However, there are few alternative options for biliary drainage up to the present time. Percutaneous biliary drainage and surgical bypass have their own drawbacks. Endoscopic ultrasound guided biliary drainage (EUS-BD) is a new platform with a very high technical and clinical success rate with an acceptable complications. This review focused on the techniques, instruments including tips and tricks of this treatment modality. EUS-BD would become another alternative options for biliary drainage for both benign and malignant conditions in the future.