EUS-assisted biliodigestive anastomoses for malignant mechanical jaundice

Abstract

Aim. To assess the role of endoscopic ultrasonography (EUS) in bile duct drainage for malignant mechanical jaundice followed by abnormal anatomy of upper gastrointestinal tract.Material and methods. There were 43 attempts to form EUS-assisted biliodigestive anastomoses in 43 patients for the period 2014–2018. Procedure was successful in 33 (76.74%) patients.Results. Two periods were identified to analyze the results. The first period (2014–2015) included 21 patients who underwent surgery, the second period (2016–2018) – 22 patients. In the first period, the effectiveness of EUS-assisted procedures was 57%, in the second one – 96%.Conclusion. EUS-assisted biliodigestive anastomoses are useful for biliary decompression in various anatomical situations including switching off the duodenum from food passage. These operation is safe alternative to other types of decompression with accumulation of experience.