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REVIEW ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 7  |  Page : 72-78

Choledochoduodenostomy: Outcomes and limitations


1 Department of Surgery; Gastrointestinal Endoscopy Unit, Hospital Das Clínicas, University of São Paulo Medical School, São Paulo, Brazil, Brazil
2 Gastrointestinal Endoscopy Unit, Hospital Das Clínicas, University of São Paulo Medical School, São Paulo, Brazil

Correspondence Address:
Dr. Everson Luiz De Almeida Artifon
Rua Guimaraes Passos 260, Apartment 121, Vila Mariana – São Paulo 04107-030
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_62_19

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The EUS-guided biliary drainage (EUS-BD) has gained broad acceptance as the preferred approach after failed ERCP for malignant biliary obstruction. Despite the drainage route, namely, transhepatic or transduodenal, the technical and clinical success rates are high. Because of such good outcomes with tolerable adverse events (AEs) rate, the EUS-BD might soon even replace the ERCP for primary biliary decompression in patients at high risk of failed biliary cannulation. Among the EUS-BD techniques, the choledochoduodenostomy seems to carry the lower risk of AEs and should be considered the first-line EUS approach for biliary decompression.


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