Current status of endoscopic ultrasound-guided antegrade intervention for biliary diseases in patients with surgically altered anatomy

Takuji Iwashita*, Shinya Uemura, Ryuichi Tezuka, Akihiko Senju, Ichiro Yasuda, Masahito Shimizu

*この論文の責任著者

研究成果: ジャーナルへの寄稿総説査読

14 被引用数 (Scopus)

抄録

Endoscopic management of biliary diseases in patients with surgically altered anatomy can be challenging because the altered anatomy makes it difficult to insert an endoscope into the biliary orifice. Even if insertion is feasible, the worse maneuverability of the endoscope and the restriction in available devices and techniques could complicate the procedure. Recently, endoscopic ultrasound-guided antegrade intervention (EUS-AG) has been reported as a useful management method for biliary diseases, especially in patients with surgically altered anatomy. In EUS-AG, the biliary disease is managed in an antegrade fashion through a temporal fistula created under EUS guidance between the intrahepatic biliary duct and upper intestine. In this article, we reviewed the current status of EUS-AG for each biliary diseases, malignant biliary obstruction, bile duct stones, and benign biliary stricture in patients with surgically altered anatomy.

本文言語英語
ページ(範囲)264-274
ページ数11
ジャーナルDigestive Endoscopy
35
2
DOI
出版ステータス出版済み - 2023/01

ASJC Scopus 主題領域

  • 放射線学、核医学およびイメージング
  • 消化器病学

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