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World J Gastrointest Surg. Jun 27, 2021; 13(6): 537-547
Published online Jun 27, 2021. doi: 10.4240/wjgs.v13.i6.537
Therapeutic interventional endoscopic ultrasound in pancreato-biliary disorders: Does it really replace the surgical/percutaneous approach?
Cosmas Rinaldi Adithya Lesmana, Maria Satya Paramitha, Rino Alvani Gani
Cosmas Rinaldi Adithya Lesmana, Maria Satya Paramitha, Rino Alvani Gani, Department of Internal Medicine, Hepatobiliary Division, Dr. Cipto Mangunkusumo National General Hospital, Medical Faculty Universitas Indonesia, Jakarta 10430, Indonesia
Cosmas Rinaldi Adithya Lesmana, Digestive Disease and GI Oncology Center, Medistra Hospital, Jakarta 12950, Indonesia
Author contributions: Lesmana CRA provided the idea and design of the study, as well as wrote the manuscript; Gani RA and Paramitha MS were involved in the manuscript preparation.
Conflict-of-interest statement: All authors have no conflict of interest.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cosmas Rinaldi Adithya Lesmana, FACG, FACP, MD, PhD, Associate Professor, Department of Internal Medicine, Hepatobiliary Division, Dr. Cipto Mangunkusumo National General Hospital, Jl. Diponegoro 71, Jakarta Pusat, Jakarta 10430, Indonesia. medicaldr2001id@yahoo.com
Received: February 7, 2021
Peer-review started: February 7, 2021
First decision: March 16, 2021
Revised: March 29, 2021
Accepted: June 2, 2021
Article in press: June 2, 2021
Published online: June 27, 2021
Core Tip

Core Tip: Pancreato-biliary disorders sometimes require multi-approach interventional procedures. Therapeutic interventional endoscopic ultrasound (EUS) has emerged as a potential alternative to surgical or percutaneous approach. Application of EUS-guided approach resulted in lower adverse events and re-intervention rates, with similar high technical and clinical success rates in comparison to percutaneous and surgical approaches, especially in patients with history of failed endoscopic retrograde cholangiopancreatography attempt. Comparison between EUS-guided and surgical approach in pancreatic fluid collection drainage demonstrated commensurable success rates and shorter length of hospital stay in favor of EUS-guided approach. Application of EUS is a potential field in replacing surgery to manage gastric outlet obstruction.