Nussbaum Jeremy S, Kumta Nikhil A
Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, One Gustave L. Levy Place, Box 1069, New York, NY 10029, USA.
Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, One Gustave L. Levy Place, Box 1069, New York, NY 10029, USA.
Gastrointest Endosc Clin N Am. 2019 Apr;29(2):277-291. doi: 10.1016/j.giec.2018.11.005. Epub 2019 Feb 4.
Endoscopic retrograde cholangiopancreatography is the preferred procedure for biliary drainage in benign and malignant obstructions. Endoscopic ultrasound-guided biliary drainage is an emerging technique for when endoscopic retrograde cholangiopancreatography fails. It is a highly versatile procedure with several options of access point, stent direction, and drainage route. Based on the current literature, the cumulative success rate is 88% to 93%, with an overall complication rate of 13% to 20%. Endoscopic ultrasound-guided biliary drainage seems to be an effective and valuable alternative technique after failed endoscopic retrograde cholangiopancreatography when performed by highly skilled endoscopists.
内镜逆行胰胆管造影术是良性和恶性梗阻性黄疸胆道引流的首选方法。内镜超声引导下胆道引流是内镜逆行胰胆管造影术失败时新兴的一种技术。它是一种高度通用的方法，有多种穿刺点、支架方向和引流途径可供选择。根据目前的文献，累积成功率为88%至93%，总体并发症发生率为13%至20%。当由高技能内镜医师进行操作时，内镜超声引导下胆道引流似乎是内镜逆行胰胆管造影术失败后的一种有效且有价值的替代技术。
