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Endoscopic Ultrasound-Guided Bile Duct Access and Drainage: Antegrade Approaches

  • Nan Ge
  • Siyu SunEmail author
Chapter

Abstract

EUS-AG stenting is a viable treatment option for patients with bile duct stones or obstruction in whom ERCP has failed, primarily as a consequence of surgically altered anatomy, duodenal obstruction, or inability to cannulate the papilla. According to the literature, both the technical and clinical successful rate of EUS-AG are high (technical success: 85.7–100%; clinical success rate: 81.6–100%) and severe complications have not been reported. At present, it shows some possible advantages over other approach routes like ERCP, PTBD, or EUS-HG, although further study with a larger cohort is still needed to evaluate its efficacy and safety.

Keywords

Endoscopic ultrasound Biliary drainage Antegrade Bile duct stones Endoscopic retrograde cholangiopancreatography Hepaticogastrostomy Obstructive jaundice Surgically altered anatomy Self-expandable metal stent Fine needle aspiration 

Supplementary material

Video 2.1

EUS-AG for the malignant bile duct drainage (MP4 39234 kb)

References

  1. 1.
    Saftoiu A, Vilmann P, Bhutani MS. The role of contrast-enhanced endoscopic ultrasound in pancreatic adenocarcinoma. Endosc Ultrasound. 2016;5(6):368–72.CrossRefGoogle Scholar
  2. 2.
    Sharma M, Rameshbabu CS, Dietrich CF, Rai P, Bansal R. Endoscopic ultrasound of the hepatoduodenal ligament and liver hilum. Endosc Ultrasound. 2016;7:168–74.CrossRefGoogle Scholar
  3. 3.
    De Castro VL, Moura EG, Chaves DM, Bernardo WM, Matuguma SE, Artifon EL. Endoscopic ultrasound versus magnetic resonance cholangiopancreatography in suspected choledocholithiasis: a systematic review. Endosc Ultrasound. 2016;5(2):118–28.CrossRefGoogle Scholar
  4. 4.
    Martin A, Kistler CA, Wrobel P, Yang JF, Siddiqui AA. Endoscopic ultrasound-guided pancreaticobiliary intervention in patients with surgically altered anatomy and inaccessible papillae: a review of current literature. Endosc Ultrasound. 2016;5(3):149–56.CrossRefGoogle Scholar
  5. 5.
    Mukai S, Itoi T. How should we use endoscopic ultrasonography-guided biliary drainage techniques separately? Endosc Ultrasound. 2016;5(2):65–8.CrossRefGoogle Scholar
  6. 6.
    Dhir V, Itoi T, Khashab MA, Park DH, Yuen Bun Teoh A, Attam R, et al. Multicenter comparative evaluation of endoscopic placement of expandable metal stents for malignant distal common bile duct obstruction by ERCP or EUS-guided approach. Gastrointest Endosc. 2015;81(4):913–23.CrossRefGoogle Scholar
  7. 7.
    Giovannini M, Moutardier V, Pesenti C, Bories E, Lelong B, Delpero JR. Endoscopic ultrasound-guided bilioduodenal anastomosis: a new technique for biliary drainage. Endoscopy. 2001;33(10):898–900.CrossRefGoogle Scholar
  8. 8.
    Sharaiha RZ, Khan MA, Kamal F, Tyberg A, Tombazzi CR, Ali B, et al. Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis. Gastrointest Endosc. 2017;85(5):904–14.CrossRefGoogle Scholar
  9. 9.
    Oh HC, Lee SK, Lee TY, Kwon S, Lee SS, Seo DW, et al. Analysis of percutaneous transhepatic cholangioscopy-related complications and the risk factors for those complications. Endoscopy. 2007;39(8):731–6.CrossRefGoogle Scholar
  10. 10.
    Nakai Y, Isayama H, Koike K. Two-step EUS-guided antegrade treatment of a difficult bile duct stone in a surgically altered anatomy patient. Dig Endosc. 2017;30:125–7.CrossRefGoogle Scholar
  11. 11.
    Godat S, Bories E, Caillol F, Pesenti C, Ratone JP, de Cassan C, et al. Efficacy and safety in case of technical success of endoscopic ultrasound-guided transhepatic antegrade biliary drainage: a report of a monocentric study. Endosc Ultrasound. 2017;6(3):181–6.CrossRefGoogle Scholar
  12. 12.
    Iwashita T, Yasuda I, Doi S, Uemura S, Mabuchi M, Okuno M, et al. Endoscopic ultrasound-guided antegrade treatments for biliary disorders in patients with surgically altered anatomy. Dig Dis Sci. 2013;58(8):2417–22.CrossRefGoogle Scholar
  13. 13.
    Ogura T, Kitano M, Takenaka M, Okuda A, Minaga K, Yamao K, et al. A multicenter prospective evaluation study of endoscopic ultrasound-guided hepaticogastrostomy combined with antegrade stenting (with video). Dig Endosc. 2017;30:252–9.CrossRefGoogle Scholar
  14. 14.
    Iwashita T, Yasuda I, Mukai T, Iwata K, Doi S, Uemura S, et al. Endoscopic ultrasound-guided antegrade biliary stenting for unresectable malignant biliary obstruction in patients with surgically altered anatomy: single-center prospective pilot study. Dig Endosc. 2017;29(3):362–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Endoscopy CenterShengjing Hospital of China Medical UniversityShenyangChina

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