Singh S, Chandan S, Facciorusso A. Role of endoscopic ultrasound-guided biliary drainage for palliation of malignant biliary obstruction. World J Gastrointest Surg 2024; 16(8): 2369-2373 [PMID: 39220057 DOI: 10.4240/wjgs.v16.i8.2369]
Corresponding Author of This Article
Antonio Facciorusso, MD, PhD, Associate Professor, Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Foggia, Via L Pinto 1 Foggia, Foggia 71122, Italy. antonio.facciorusso@virgilio.it
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
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 Surg. Aug 27, 2024; 16(8): 2369-2373 Published online Aug 27, 2024. doi: 10.4240/wjgs.v16.i8.2369
Role of endoscopic ultrasound-guided biliary drainage for palliation of malignant biliary obstruction
Sahib Singh, Saurabh Chandan, Antonio Facciorusso
Sahib Singh, Department of Internal Medicine, Sinai Hospital, Baltimore, MD 21215, United States
Saurabh Chandan, Center for Interventional Endoscopy (CIE), Advent Health, Orlando, FL 32803, United States
Antonio Facciorusso, Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Foggia, Foggia 71122, Italy
Author contributions: Singh S, Chandan S, and Facciorusso A contributed to this paper; Chandan S and Facciorusso A designed the overall concept and outline of the manuscript; Singh S contributed to the discussion and design of the manuscript; Singh S, Chandan S, and Facciorusso A contributed to writing and editing the manuscript, illustrations, and review of literature.
Conflict-of-interest statement: The authors have nothing to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Antonio Facciorusso, MD, PhD, Associate Professor, Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Foggia, Via L Pinto 1 Foggia, Foggia 71122, Italy. antonio.facciorusso@virgilio.it
Received: March 9, 2024 Revised: May 15, 2024 Accepted: June 3, 2024 Published online: August 27, 2024 Processing time: 159 Days and 19.5 Hours
Abstract
Endoscopic ultrasound-guided biliary drainage (EUS-BD) directs bile flow into the digestive tract and has been mostly used in patients with malignant biliary obstruction (MBO) where endoscopic retrograde cholangiopancreatography-guided biliary drainage was unsuccessful or was not feasible. Lumen apposing metal stents (LAMS) are deployed during EUS-BD, with the newer electrocautery-enhanced LAMS reducing procedure time and complication rates due to the inbuilt cautery at the catheter tip. EUS-BD with electrocautery-enhanced LAMS has high technical and clinical success rates for palliation of MBO, with bleeding, cholangitis, and stent occlusion being the most common adverse events. Recent studies have even suggested comparable efficacy between EUS-BD and endoscopic retrograde cholangiopancreatography as the primary approach for distal MBO. In this editorial, we commented on the article by Peng et al published in the recent issue of the World Journal of Gastrointestinal Surgery in 2024.
Core Tip: Among the various interventions available for biliary drainage in distal malignant biliary obstruction, guidelines recommend endoscopic retrograde cholangiopancreatography for primary drainage, with endoscopic ultrasound-guided biliary drainage being an alternative approach in poor surgical candidates at high volume expert centers.
