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REVIEW ARTICLE
Year : 2016  |  Volume : 5  |  Issue : 3  |  Page : 149-156

Endoscopic ultrasound-guided pancreaticobiliary intervention in patients with surgically altered anatomy and inaccessible papillae: A review of current literature


1 Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA, USA
2 Division of Gastroenterology and Hepatology, University of Texas Southwestern Medical Center, Dallas, TX, USA

Correspondence Address:
Ali A Siddiqui
Division of Digestive and Liver Diseases, Thomas Jefferson University, Philadelphia, PA 19107
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.183969

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The management of pancreaticobiliary disease in patients with surgically altered anatomy is a growing problem for gastroenterologists today. Over the years, endoscopic ultrasound (EUS) has emerged as an important diagnostic and therapeutic modality in the treatment of pancreaticobiliary disease. Patient anatomy has become increasingly complex due to advances in surgical resection of pancreaticobiliary disease and EUS has emerged as the therapy of choice when endoscopic retrograde cholangiopancreatography failed cannulation or when the papilla is inaccessible such as in gastric obstruction or duodenal obstruction. The current article gives a comprehensive review of the current literature for EUS-guided intervention of the pancreaticobiliary tract in patients with altered surgical anatomy.


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