Recent advances in endoscopic ultrasonography-guided biliary interventions

doi:10.3748/wjg.v21.i32.9494

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World Journal of Gastroenterology

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World J Gastroenterol. Aug 28, 2015; 21(32): 9494-9502
Published online Aug 28, 2015. doi: 10.3748/wjg.v21.i32.9494

Recent advances in endoscopic ultrasonography-guided biliary interventions

Kazumichi Kawakubo, Hiroshi Kawakami, Masaki Kuwatani, Shin Haba, Shuhei Kawahata, Yoko Abe, Yoshimasa Kubota, Kimitoshi Kubo, Hiroyuki Isayama, Naoya Sakamoto

Kazumichi Kawakubo, Hiroshi Kawakami, Masaki Kuwatani, Shin Haba, Shuhei Kawahata, Yoko Abe, Yoshimasa Kubota, Kimitoshi Kubo, Naoya Sakamoto, Department of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Sapporo 0608638, Japan

Hiroyuki Isayama, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan

Author contributions: Kawakubo K wrote the manuscript, reviewed the literature and revised the manuscript; Kawakami H and Kuwatani M revised the manuscript; Haba S, Kawahata S, Abe Y, Kubota Y and Kubo K collected the data; Isayama H and Sakaoto N supervised the manuscript; all authors approved the final manuscript for publication.

Conflict-of-interest statement: The authors declared that there is no conflict of interest to declare.

Correspondence to: Kazumichi Kawakubo, MD, PhD, Department of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo 0608638, Japan. kkawakubo-gi@umin.ac.jp

Telephone: +81-11-7161161 Fax: +81-11-7167867

Received: March 18, 2015
Peer-review started: March 19, 2015
First decision: April 23, 2015
Revised: May 15, 2015
Accepted: July 15, 2015
Article in press: July 15, 2015
Published online: August 28, 2015
Processing time: 163 Days and 0.4 Hours

Abstract

Interventional endoscopic ultrasonography (EUS) based on EUS-guided fine-needle aspiration has rapidly spread as a minimally invasive procedure. Especially in patients with failed endoscopic retrograde cholangiopancreatography, EUS-guided biliary intervention is reported to be useful as salvage therapy. EUS-guided biliary interventions are carried out using three techniques: EUS-guided bilioenteric anastomosis, EUS-guided rendezvous procedure, and EUS-guided antegrade treatment. Although interventional EUS is not yet a standardized procedure, there have been recent advances in this field that address various biliary diseases. Here, we summarize the indications, techniques, clinical results of previous studies, and future perspectives.

Keywords: Endosonography-guided biliary intervention; Choledochoduodenostomy; Hepaticogastrostomy; Rendezvous procedure; Antegrade treatment

Core tip: Endoscopic-ultrasonography-guided biliary drainage (EUS-BD) is widely accepted as salvage therapy for transpapillary treatment. However, there are few data comparing the clinical efficacy of EUS-BD and endoscopic retrograde cholangiopancreatography (ERCP) with regard to which is the treatment of choice. As EUS-BD is performed under direct visualization, it has the potential to replace ERCP. However, a prospective randomized study is necessary to confirm it.