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Interventional EUS: Bile Duct and Gallbladder

  • Anthony Yuen Bun TeohEmail author
  • Kenjiro Yamamoto
  • Takao Itoi
Chapter

Abstract

In the last decade, EUS-guided biliary drainage (EUS-BD) has emerged as an alternative approach for drainage of the bile ducts. The approach allows internal drainage of bile with either a transpapillary or transmural technique depending on the etiology and level of obstruction avoiding percutaneous tubes or surgery. Similarly, EUS-guided gallbladder drainage (EGBD) is also gaining popularity as an endoscopic alternative to percutaneous drainage of the gallbladder. In this chapter, we will provide an overview on the current developments in EUS-BD and EGBD. The indications, techniques, outcomes, and risk of adverse events of both the techniques are discussed.

Keywords

EUS-guided biliary drainage EUS-guided gallbladder drainage Malignant biliary obstruction Failed ERCP Acute cholecystitis 

Supplementary material

Video 28.1

EUS-guided antegrade stenting. The left intrahepatic duct was punctured by a 19-gauge needle from the stomach. A guidewire was passed into the liver hilum. A coaxial diathermy was inserted for injection of contrast to delineate the site of obstruction. The guidewire was then manipulated across the stricture and into the duodenum. An uncovered metallic stent was inserted across the stricture in an antegrade manner. (MOV 71072 kb)

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Anthony Yuen Bun Teoh
    • 1
    Email author
  • Kenjiro Yamamoto
    • 2
  • Takao Itoi
    • 2
  1. 1.Department of SurgeryPrince of Wales Hospital, The Chinese University of Hong KongShatinHong Kong SAR
  2. 2.Department of GastroenterologyThe University of TokyoTokyoJapan

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