Antonini F, Merlini I, Di Saverio S. Endoscopic ultrasound-guided biliary drainage after failed endoscopic retrograde cholangiopancreatography: The road is open for almighty biliopancreatic endoscopists! World J Gastrointest Surg 2024; 16(9): 2765-2768 [PMID: 39351565 DOI: 10.4240/wjgs.v16.i9.2765]
Corresponding Author of This Article
Filippo Antonini, MD, Gastroenterology and Interventional Endoscopy Unit, Mazzoni Hospital AST Ascoli Piceno, Via degli Iris 1, Ascoli Piceno 63100, Italy. filippo.antonini@sanita.marche.it
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2024; 16(9): 2765-2768 Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2765
Endoscopic ultrasound-guided biliary drainage after failed endoscopic retrograde cholangiopancreatography: The road is open for almighty biliopancreatic endoscopists!
Filippo Antonini, Ilenia Merlini, Salomone Di Saverio
Ilenia Merlini, Salomone Di Saverio, Department of Surgery, Madonna del Soccorso Hospital AST Ascoli Piceno, San Benedetto del Tronto 63074, Italy
Author contributions: Antonini F has written the manuscript; Merlini I and Di Saverio S revised and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Filippo Antonini, MD, Gastroenterology and Interventional Endoscopy Unit, Mazzoni Hospital AST Ascoli Piceno, Via degli Iris 1, Ascoli Piceno 63100, Italy. filippo.antonini@sanita.marche.it
Received: March 12, 2024 Revised: May 17, 2024 Accepted: June 14, 2024 Published online: September 27, 2024 Processing time: 190 Days and 2.7 Hours
Abstract
Commentary on the article written and published by Peng et al, investigating the role of endoscopic ultrasound (EUS)-guided biliary drainage for palliation of malignant biliary obstruction after failed endoscopic retrograde cholangiopancreatography (ERCP). For 40 years endoscopic biliary drainage was synonymous with ERCP, and EUS was used mainly for diagnostic purposes. The advent of therapeutic EUS has revolutionized the field, especially with the development of a novel device such as electrocautery-enhanced lumen-apposing metal stents. Complete biliopancreatic endoscopists with both skills in ERCP and in interventional EUS, would be ideally suited to ensure patients the best drainage technique according to each individual situation.
Core Tip: Endoscopic retrograde cholangiopancreatography is still considered the most appropriate treatment for the management of biliary obstruction but endoscopic ultrasound-guided biliary drainage will be increasingly important in this patient population. Biliopancreatic endoscopists should master both endoscopic retrograde cholangiopancreatography and interventional endoscopic ultrasound in order to guarantee a comprehensive management of patients with biliary obstruction.
