Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 16, 2015; 7(3): 283-289
Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.283
Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.283
Endoscopic ultrasound-guided biliary intervention in patients with surgically altered anatomy
Aroon Siripun, Bancha Ovartlarnporn, NKC Institute of Gastroenterology and Hepatology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand
Pimsiri Sripongpun, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand
Author contributions: Siripun A and Sripongpun P performed the literature search and wrote the first draft of the paper; Ovartlanporn B reviewed and edited the article.
Conflict-of-interest: Siripun A, Sripongpun P and Ovartlarnporn B have no conflict of interest to declare.
Data sharing: No additional data are available.
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: Bancha Ovartlarnporn, MD, NKC Institute of Gastroenterology and Hepatology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Rd., Hat Yai, Songkhla 90110, Thailand. mrovart@ji-net.com
Telephone: +66-81-7664879 Fax: +66-74-429436
Received: August 27, 2014
Peer-review started: August 31, 2014
First decision: November 27, 2014
Revised: January 8, 2015
Accepted: February 4, 2015
Article in press: February 9, 2015
Published online: March 16, 2015
Peer-review started: August 31, 2014
First decision: November 27, 2014
Revised: January 8, 2015
Accepted: February 4, 2015
Article in press: February 9, 2015
Published online: March 16, 2015
Core Tip
Core tip: Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy is challenging, with a failure rate as high as 26%. Data of endoscopic ultrasound-guided biliary drainage (EUS-BD) in patients with altered anatomy from the literature show a similar efficacy to that of EUS-BD in general. EUS-BD may be selected as an alternative for patients with altered anatomy who failed overtube-assisted enteroscopy-ERCP in centers where the expertise in EUS-BD is available. However, the EUS-BD approach should be performed in a research setting based on the current stage of EUS-BD techniques.