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    J Hepatobiliary Pancreat Surg. 2009;16(5):598-604. Epub 2009 Aug 1.

    Pancreatobiliary drainage using the EUS-FNA technique: EUS-BD and EUS-PD.

    Irisawa A, Hikichi T, Shibukawa G, Takagi T, Wakatsuki T, Takahashi Y, Imamura H, Sato A, Sato M, Ikeda T, Suzuki R, Obara K, Ohira H.

    Source

    Department of Internal Medicine 2, Fukushima Medical University School of Medicine, Hikarigaoka 1, Fukushima City, Fukushima, 960-1295, Japan. irisawa@fmu.ac.jp

    Abstract

    The recent progression of endoscopic ultrasonography (EUS) enables EUS-guided transmural drainage based on the EUS-guided fine-needle aspiration biopsy technique. Prior to the development of EUS-guided drainage procedures, the options for treating obstruction of the pancreatobiliary system included surgical drainage, percutaneous drainage using ultrasound and radiological guidance, and endoscopic (non EUS-guidance) transmural drainage. Today, using EUS guidance and dedicated accessories, it is possible to create bilio- or pancreato-digestive anastomosis, EUS-guided biliary drainage (EUS-BD), and EUS-guided pancreatic drainage (EUS-PD). The recent literature describes that EUS-BD and EUS-PD have acceptable success and complication rates. These procedures are anticipated for use as alternatives to surgery or percutaneous drainage when endoscopic transpapillary procedures fail.

    PMID:
    19649561
    [PubMed - indexed for MEDLINE]

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