Choose the best alternative wisely for biliary interventions after failed ERCP!

Hepaticogastrostomy for benign indications: An option in selected cases

“…These findings, however, do not mean that today, EUS-BD is an acceptable technique or alternative to PTBD for all benign indications. It is worth noting that a recent paper published in EIO [7] reported an optimistically low rate of AEs after EUS-BD and an (over) pessimistic high rate of AEs after PTBD, possibly related to a lack of expertise [8]. In their propensity score matched analysis of a retrospective comparison between EUS-BD and PTBD, Koutlas et al included 38 patients with benign indications, representing 40% of the cases in their series.…”