Yoon Won Jae, Park Do Hyun, Choi Jun Ho, Jang Sunguk, Samarasena Jason, Lee Tae Hoon, Paik Woo Hyun, Oh Dongwook, Song Tae Jun, Choi Joon Hyuk, Hara Kazuo, Iwashita Takuji, Perez-Miranda Manuel, Lee John G, Vazquez-Sequeiros Enrique, Naitoh Itaru, Vila Juan J, Brugge William R, Takenaka Mamoru, Lee Sang Soo, Seo Dong-Wan, Lee Sung Koo, Kim Myung-Hwan
Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, South Korea.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Endosc Ultrasound. 2019 May-Jun;8(3):188-193. doi: 10.4103/eus.eus_57_18.
EUS-guided biliary drainage (EUS-BD) is increasingly utilized to manage unresectable malignant biliary obstruction after a failed ERCP. However, there is no data on how endoscopists perceive EUS-BD. The aim of this study was to investigate the perception of endoscopists on EUS-BD.
A survey questionnaire of six topics with 22 survey statements was developed. A total of 17 pancreatobiliary endoscopists (10 from East and 7 from West) were invited to survey. The participants were asked to answer the multiple choice questionnaire and give comments. The opinions of the participants for individual survey statements were assessed using 5-point Likert scale.
All participants completed the survey. The endoscopists had a trend to perceive EUS-BD as a procedure indicated after a failed ERCP. Various EUS-BD methods were regarded as having different efficacy and safety. The superiority of EUS-BD over percutaneous transhepatic BD (PTBD) with regard to efficacy, procedure-related adverse events, and unscheduled re-intervention was not in agreement.
EUS-BD was not yet perceived as the initial procedure to relieve the unresectable malignant biliary obstruction. Various EUS-BD methods were regarded as having different efficacy and safety. The superiority of EUS-BD over PTBD was not in agreement. Refining the procedure, developing dedicated devices, and gaining expertise in the procedure are necessary to popularize EUS-BD.
内镜超声引导下胆道引流术（EUS-BD）在经内镜逆行胰胆管造影术（ERCP）失败后用于处理不可切除的恶性胆道梗阻的应用越来越广泛。然而，关于内镜医师如何看待EUS-BD尚无相关数据。本研究的目的是调查内镜医师对EUS-BD的看法。
设计了一份包含6个主题、22条调查陈述的调查问卷。共邀请了17名胰腺胆道内镜医师（10名来自东方，7名来自西方）参与调查。要求参与者回答多项选择题并发表评论。使用5级李克特量表评估参与者对各调查陈述的意见。
所有参与者均完成了调查。内镜医师倾向于将EUS-BD视为ERCP失败后的一种治疗手段。各种EUS-BD方法被认为具有不同的疗效和安全性。在疗效、与操作相关的不良事件及非计划再次干预方面，EUS-BD相对于经皮经肝胆道引流术（PTBD）的优势并不一致。
EUS-BD尚未被视为缓解不可切除恶性胆道梗阻的首选治疗手段。各种EUS-BD方法被认为具有不同的疗效和安全性。EUS-BD相对于PTBD的优势并不一致。优化操作、开发专用设备并积累该操作的专业经验对于推广EUS-BD是必要的。
