Two types of EUS-BD methods for achieving biliary drainage when ERCP fails are choledochoduodenostomy (CDS) or hepaticogastrostomy (HGS). However, there is no consensus if one approach is better than the other. Therefore, we conducted a systematic review and meta-analysis to evaluate these 2 main EUS-BD methods.

2025年3月13日 · EUS-TTN imaging, EUS-TTN measurement, EUS-TTN biopsy (EUS-TTNB) 3. EUS-D/A: ... Endoscopic view of EG-580UT, where the charge-coupled device (CCD) was located in front of the scope channel. (F) Endoscopic view of EG-740UT, where the CCD was located behind the scope channel. Puncture needle. Currently, there is no dedicated needle for I …

2013年10月1日 · In patients with jaundice and unsuccessful biliary drainage with cholangiopancreatography because of inaccessible papilla due to duodenal stenosis caused by tumor invasion, endoscopic ultrasound (EUS)-guided biliary drainage has been introduced as an alternative to percutaneous cholangiodrainage (PTCD).

EUS guided approaches include transmural drainage (hepaticogastrostomy or choledochoduodenostomy), a rendezvous procedure or an antegrade approach. EUS guided transluminal drainage (EUS-TLD) is achieved by bile duct puncture from the stomach or the duodenum using EUS-FNA needle.

EUS-Guided Choledochoduodenostomy: Current Role and Status dysfunction is LAMS invasion on the biliary side (3a) or duodenal side (3b), treated by placing double pigtail stents or SEMS through the LAMS. Type 4 dysfunction is LAMS migration, which can be managed by replacing the LAMS through the same fistula, creating a new EUS-CDS, or other methods

2021年4月21日 · Recently, clinical impacts of endoscopic ultrasound (EUS) have been reported with diagnostic modalities such as fine-needle aspiration (FNA) and treatment modalities such as biliary drainage (BD). EUS-BD can be divided into two main approach routes: trans-gastric or …

2021年10月2日 · EUS-guided cholangiodrainage (EUS-BD) is the standard procedure for internal bile drainage in the palliative setting even before PTCD in the case of failed ERCP in hospitals with high expertise. In addition to the internal antegrade drainage technique, antegrade...

Background and objectives: EUS-guided biliary drainage (EUS-BD) offers minimally invasive decompression when conventional endoscopic retrograde cholangiopancreatography fails. Stents can be placed from the intrahepatic ducts into the stomach (hepaticogastrostomy [HG]) or from the extrahepatic bile duct into the small intestine ...

2023年7月13日 · Objectives: Endoscopic ultrasound (EUS)-guided biliary drainage encompasses techniques such as EUS-guided hepaticogastrostomy (EUS-HGS) and EUS-guided choledochoduodenostomy (EUS-CDS). This meta-analysis compared the efficacy of EUS-CDS with that of EUS-HGS for the treatment of biliary obstruction.

2022年6月23日 · EUS-guided choledochoduodenostomy (EUS-CDS) is gaining popularity as a rescue of failed ERCP cases. Recently, EUS-CDS is focused as a primary biliary drainage [1–3]. The procedure has been shown to be associated with higher success rate, lower adverse events, shorter hospital stays, and fewer reinterventions [3].