University of Sao Paulo (USP), Rua Guimaraes Passos, 260/121, Vila Mariana, Sao Paulo/SP, Brazil.
Endosc Ultrasound. 2012 Apr;1(1):2-7. doi: 10.7178/eus.01.002.
The EUS-guided biliary drainage is a new tool for the palliation of distal obstructive biliary lesions. The EUS-guided access, which creates a fistulization between the duodenal bulb and distal common biliary duct, is an effective method to relieve jaundice and has low morbidity and mortality, in patients with distal biliary obstruction (pancreatic mass or papillary câncer). This technique is called choledochoduodenostomy and is presented promptly in this article. The EUS-guided biliary drainage should be made within protocol conditions and done by very experienced endosonographers.
EUS 引导下的胆道引流术是治疗远端胆道梗阻的新工具。EUS 引导的方法在十二指肠球部和远端胆总管之间建立一个瘘管，是一种有效缓解黄疸的方法，在远端胆道梗阻（胰腺肿块或乳头癌）患者中具有较低的发病率和死亡率。这种技术被称为胆管十二指肠吻合术，本文将对其进行详细介绍。EUS 引导下的胆道引流术应在协议规定的条件下进行，并由经验丰富的超声内镜医师完成。
