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REVIEW ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 7  |  Page : 67-71

EUS-guided biliary drainage for difficult cannulation


Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan

Correspondence Address:
Dr. Masayuki Kitano
Second Department of Internal Medicine, Wakayama Medical University Hospital, 811-1 Kimiidera Wakayama, Wakayama 641-8509
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_60_19

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EUS-guided biliary drainage (EUS-BD) has been recognized as a new alternative to failed ERCP. The alternatives for failed/impossible ERCP in cases of difficult and selective bile duct cannulation include percutaneous transhepatic BD (PTBD) with precut papillotomy. EUS-BD is reportedly more convenient than PTBD and more successful than precut papillotomy, suggesting that EUS-BD is the next step following failed/impossible ERCP.


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