A Comparative Evaluation of EUS-Guided Biliary Drainage and Percutaneous Drainage in Patients with Distal Malignant Biliary Obstruction and Failed ERCP

Abstract

EGBD and PTBD are comparably effective techniques for treatment of distal malignant biliary obstruction after failed ERCP. However, EGBD is associated with decreased adverse events rate and is significantly less costly due to the need for fewer reinterventions. Our results suggest that EGBD should be the technique of choice for treatment of these patients at institutions with experienced interventional endosonographers.

Endoscopic ultrasound-guided choledochoduodenostomy after a failed or impossible ERCP

“…Although current data may be limited, EUS-guided biliary drainage is a safe alternative to surgery in patients with bile duct obstruction and a failed or impossible ERCP (3,7,9).…”

Lumen apposing metal stents: A review of current uses and outcomes

“…[24][25][26] The rates of technical and clinical success have been high with EUS-BD (86%-98% and 88%-94%, respectively), although complication rates have been high as well (9%-26%). [27][28][29][30][31] To potentially improve success, LAMS have been developed and are now being used for choledochoduodenostomy (CD), gallbladder decompression, and cholecystoenterostomy.…”

Novel diagnostic and therapeutic modalities using endoscopic ultrasound in pancreatic disease

“…91 These findings are in line with the reported adverse rate of 10%-20% with EGBD. 90,92 Gupta et al 93 recently published the retrospective analysis of IH EGBD vs EH EGBD in 240 patients. Both methods demonstrated equivalent success rates (84.3% EH vs 90.4% IH), with higher rates of success using either modality in patients with malignant obstruction (90.2%).…”