Recent innovations in therapeutic endoscopy for pancreatobiliary diseases

Abstract

The development of endoscopic treatment for pancreatobiliary diseases in recent years is remarkable. In addition to conventional transpapillary treatments under endoscopic retrograde cholangiopancreatography (ERCP), new endoscopic ultrasound‐guided therapy is being developed and implemented. On the other hand, due to the development/improvement of various devices such as new metal stents, a new therapeutic strategy under ERCP is also advocated. The present review focuses on recent advances in the endoscopic treatment of pancreatic pseudocysts, walled‐off necrosis, malignant biliary strictures, and benign biliary/pancreatic duct strictures.

EUS-guided hepaticoenterostomy with using a dedicated plastic stent for the benign pancreaticobiliary diseases: A single-center study of a large case series

“…EUS-BD was first reported in 2001, and since then, several investigators have addressed the feasibility of EUS-BD. [ 11 12 13 14 ] Recently, EUS-BD has been utilized for the treatment of benign pancreaticobiliary diseases. [ 2 15 16 17 ] We previously proposed the current treatment algorithm of benign biliary diseases in patients with SAA.…”

Contributions from Japan to gastrointestinal endoscopy training and development: Special report

“…Much of this progress took place in Japan. As the technology advanced, so too did the sophistication and variety of endoscopic treatment, with new techniquessuch as biopsy, polypectomy, papillotomy, laparoscopic cholecystectomy, laser endoscopy, EUS, 22,23 endoscopic surgical techniques such as EMR, ESD 24,25 and AI-assisted endoscopyappearing in rapid succession 26 .…”

Endoscopic ultrasound‐guided choledocoduodenostomy with electrocautery‐enhanced lumen‐apposing metal stent for benign biliary obstruction: When all other options fail

“…Endoscopic ultrasound biliary drainage is an optimal approach for malignant and benign biliary obstruction in some cases after failed ERCP. The EUS‐guided choledocoduodenostomy using LAMS is an effective and safe option for biliary decompression 4 …”