Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy
Clinical Endoscopy
; : 515-529, 2016.
Article
Dans En
| WPRIM
| ID: wpr-160407
Responsable en Bibliothèque :
WPRO
ABSTRACT
Endoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of therapy for pancreatobiliary diseases. While ERCP is safe and highly effective in the general population, the procedure remains challenging or impossible in patients with surgically altered anatomy (SAA). Endoscopic ultrasound (EUS) allows transmural access to the bile or pancreatic duct (PD) prior to ductal drainage using ERCP-based techniques. Also known as endosonography-guided cholangiopancreatography (ESCP), the procedure provides multiple advantages over overtube-assisted enteroscopy ERCP or percutaneous or surgical approaches. However, the procedure should only be performed by endoscopists experienced in both EUS and ERCP and with the proper tools. In this review, various EUS-guided diagnostic and therapeutic drainage techniques in patients with SAA are examined. Detailed step-by-step procedural descriptions, technical tips, feasibility, and safety data are also discussed.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Conduits pancréatiques
/
Bile
/
Drainage
/
Échographie
/
Cholangiopancréatographie rétrograde endoscopique
/
Endoscopie
Type d'étude:
Diagnostic_studies
Limites du sujet:
Humans
langue:
En
Texte intégral:
Clinical Endoscopy
Année:
2016
Type:
Article