BACKGROUND: Endoscopic ultrasonography (EUS)-guided choledochoduodenostomy (CDS) is an alternative to percutaneous transhepatic cholangiography (PTC) drainage in patients with an obstructed biliary system where conventional endoscopic retrograde biliary drainage (ERBD) has been unsuccessful. METHODS: Five EUS-CDS procedures were reviewed to assess whether successful decompression was achieved and maintained. RESULTS: There was technical success in each instance with no immediate complications. There was a significant fall in the median bilirubin of 164 mmol/l. The median follow-up was 44 days. In one patient the stent migrated with no adverse outcome. CONCLUSION: EUS-CDS is a viable alternative to PTC with fewer complications and comparable success rates. EUS-CDS may offer a future route for novel therapeutic advances.
BACKGROUND: Endoscopic ultrasonography (EUS)-guided choledochoduodenostomy (CDS) is an alternative to percutaneous transhepatic cholangiography (PTC) drainage in patients with an obstructed biliary system where conventional endoscopic retrograde biliary drainage (ERBD) has been unsuccessful. METHODS: Five EUS-CDS procedures were reviewed to assess whether successful decompression was achieved and maintained. RESULTS: There was technical success in each instance with no immediate complications. There was a significant fall in the median bilirubin of 164 mmol/l. The median follow-up was 44 days. In one patient the stent migrated with no adverse outcome. CONCLUSION:EUS-CDS is a viable alternative to PTC with fewer complications and comparable success rates. EUS-CDS may offer a future route for novel therapeutic advances.
Authors: Junbum Eum; Do Hyun Park; Choong Heon Ryu; Hong Jun Kim; Sang Soo Lee; Dong Wan Seo; Sung Koo Lee; Myung-Hwan Kim Journal: Gastrointest Endosc Date: 2010-09-25 Impact factor: 9.427
Authors: J S Laméris; J Stoker; H G Nijs; H M Zonderland; O T Terpstra; M van Blankenstein; H E Schütte Journal: Radiology Date: 1991-06 Impact factor: 11.105
Authors: Andreas Weber; Jochen Gaa; Bogdan Rosca; Peter Born; Bruno Neu; Roland M Schmid; Christian Prinz Journal: Eur J Radiol Date: 2008-10-16 Impact factor: 3.528