Endoscopic ultrasound-guided biliodigestive drainage is a good alternative in patients with unresectable cancer.

M A Ramírez-Luna, F I Téllez-Ávila, M Giovannini, F Valdovinos-Andraca, I Guerrero-Hernández, J Herrera-Esquivel

Journal: Endoscopy 2012;43(9):826-30

PMID: 21833899

Full Text on Georg Thieme Verlag Stuttgart, New York View on PubMed

Abstract

A total of 11 prospective cases of endoscopic ultrasound (EUS)-guided cholangio-drainage (EUCD) in patients with end-stage biliopancreatic cancer and biliary tract obstruction are reported. Other available drainage methods (endoscopic retrograde cholangiopancreatography and/or percutaneous transhepatic biliary drainage) of the biliary tract were attempted without success prior to EUS. Technical and clinical success was achieved in 10/11 patients (91%) and in 9/10 patients (90%), respectively. Bilirubin decreased by more than 50% in 7/11 patients (64%). One patient had a complication that required re-intervention and another patient developed biloma. No mortality directly related to the procedure was documented. In conclusion, EUCD is a good alternative for patients with malignant obstruction of the biliary tract in whom other drainage methods have failed.

Address: Endoscopy department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México City, México. [email protected]

DOI: 10.1055/s-0030-1256406

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MeSH Terms: Adult, Aged, Aged, 80 and over, Bilirubin, Cholestasis, Extrahepatic, Digestive System Neoplasms, Drainage, Female, Humans, Male, Middle Aged, Prospective Studies, Stents, Ultrasonography, Interventional, Young Adult