Preoperative endoscopic ultrasound-guided biliary drainage for primary drainage in obstructive jaundice.

IF 3.8 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Expert Review of Gastroenterology & Hepatology Pub Date : 2023-12-01 Epub Date: 2024-01-17 DOI:10.1080/17474124.2023.2293813

Shuntaro Mukai, Takao Itoi

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引用次数: 0

Abstract

Introduction: Endoscopic transpapillary approach by endoscopic retrograde cholangiopancreatography (ERCP) is the established technique for preoperative biliary drainage (PBD). Recently, endoscopic ultrasound-guided biliary drainage (EUS-BD) has been reported to be a useful alternative technique after ERCP fail. However, the optimal strategy remain controversial.

Area covered: This review summarizes the literature on EUS-BD techniques for PBD with a literature search using PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials database between 2000 and 2023 using keywords for 'preoperative biliary drainage' and all types of EUS-BD techniques.

Expert opinion: As there is no consensus on the optimal EUS-BD technique for PBD, selection of the EUS-BD approach depends on the patient's condition, the biliary obstruction site, the anastomosis after surgical intervention, and the preference of the endoscopist. However, we consider that EUS-HGS using a dedicated plastic stent may have some advantages in the adverse impact of surgical procedure because the location where the fistula is created by EUS-HGS is away from the site of the surgical procedure. Although there remain many issues that require further investigation, EUS-BD can be a feasible and safe alternative method of PBD for malignant biliary obstruction after ERCP fail.

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术前内镜超声引导胆道引流术，用于梗阻性黄疸的初次引流。

导言：通过内镜逆行胰胆管造影术（ERCP）进行内镜下经胆管引流（PBD）是目前公认的术前胆道引流（PBD）技术。最近，有报道称内镜超声引导胆道引流术（EUS-BD）是ERCP失败后的一种有效替代技术。然而，最佳策略仍存在争议：本综述通过使用 PubMed、Web of Science 和 Cochrane Central Register of Controlled Trials 数据库，以 "术前胆道引流 "和所有类型的 EUS-BD 技术为关键词，对 2000 年至 2023 年期间有关 EUS-BD 技术用于 PBD 的文献进行了检索：专家意见：由于目前尚未就 PBD 的最佳 EUS-BD 技术达成共识，EUS-BD 方法的选择取决于患者的病情、胆道梗阻部位、手术干预后的吻合情况以及内镜医师的偏好。不过，我们认为使用专用塑料支架的 EUS-HGS 可能在手术的不利影响方面具有一些优势，因为 EUS-HGS 创建瘘管的位置远离手术部位。尽管仍有许多问题需要进一步研究，但 EUS-BD 可以作为 ERCP 失败后恶性胆道梗阻的一种可行且安全的 PBD 替代方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Gastroenterology & Hepatology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.80

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The enormous health and economic burden of gastrointestinal disease worldwide warrants a sharp focus on the etiology, epidemiology, prevention, diagnosis, treatment and development of new therapies. By the end of the last century we had seen enormous advances, both in technologies to visualize disease and in curative therapies in areas such as gastric ulcer, with the advent first of the H2-antagonists and then the proton pump inhibitors - clear examples of how advances in medicine can massively benefit the patient. Nevertheless, specialists face ongoing challenges from a wide array of diseases of diverse etiology.