Endoscopic Ultrasound Biliary Drainage in Pancreatic Cancer

Authors

  • Kar Wai Lau Department of Gastroenterology, Royal Stoke University Hospital, United Kingdom
  • Mihai Rimbaș Gastroenterology Department, Colentina Clinical Hospital, Bucharest; Department of Internal Medicine, Carol Davila University of Medicine, Bucharest, Romania
  • Giulia Tripodi Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
  • Alberto Larghi Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

DOI:

https://doi.org/10.15403/jgld-4922

Keywords:

pancreatic cancer, endoscopic ultrasound, biliary drainage, lumen apposing metal stents

Abstract

Endoscopic ultrasound (EUS) guided biliary drainage (BD) is an accepted salvage procedure in patients with distal malignant biliary obstruction (DMBO) when endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful. The potential advantages of EUS-BD include gastric or duodenal biliary access, utilization of novel biliary stents and stent placement away from the area of stenosis, resulting in longer stent patency. These features make EUS-BD very appealing as a primary procedure for biliary drainage. There is a growing body of evidence supporting the utilization of EUS as a primary drainage procedure instead of ERCP, with comparable outcomes.

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Published

2023-12-22

How to Cite

1.
Lau KW, Rimbaș M, Tripodi G, Larghi A. Endoscopic Ultrasound Biliary Drainage in Pancreatic Cancer. JGLD [Internet]. 2023 Dec. 22 [cited 2026 Jul. 22];32(4):545-53. Available from: https://www.jgld.ro/jgld/index.php/jgld/article/view/4922

Issue

Vol. 32 No. 4: December 2023

Section

Review