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REVIEW ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 7  |  Page : 57-66

EUS-guided biliary drainage for postsurgical anatomy


1 Clinical and Translational Epidemiology Unit, Harvard Medical School and Massachusetts General Hospital; Division of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA
2 Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD, USA

Correspondence Address:
Dr. Mouen A Khashab
Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Sheikh Zayed Bldg, 1800 Orleans Street, Suite 7125G, Baltimore, MD 21287
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_53_19

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ERCP is the mainstay of therapy for pancreatobiliary diseases in patients with native upper gastrointestinal (UGI) anatomy. However, when UGI anatomy is surgically altered, standard ERCP becomes technically challenging or not possible. In such instances, EUS-guided biliary drainage (EUS-BD) has been increasingly employed by advanced endoscopists as a safe and effective method of access to the biliary tree. In this study, we review the technical aspects and outcomes of EUS-BD in patients with surgical UGI anatomy.


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