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Revista de Gastroenterología del Perú

Print version ISSN 1022-5129


ARTIFON, Everson L. A. et al. Endoscopy Ultra- Sonography -Guided Biliary Drainage in the Surgical -Endoscopy Era. Rev. gastroenterol. Perú [online]. 2011, vol.31, n.4, pp.365-375. ISSN 1022-5129.

BACKGROUND: US-guided hepatico -gastrostomy, choledocho-duodenostomy and choledocho-antrostomy are advanced procedures on biliary and pancreatic endoscopy and together make up the echo-guided biliary drainage. Hepatico - gastrostomy is indicated in cases of hiliar obstruction, while the procedure of choice is choledocho - duodenostomy in distal lesions. Both procedures must be done only after unsuccessful ERCP. AIMS: To clarify to the readers about indication of these procedures, they must be made under a multidisciplinary view while sharing information with the patient or legal guardian. METHODS: All series cases report and selected cohort studies were selected according to the DDTS system in which key words were EUS biliary drainage, choledocho-duodenostomy, hepatico-gastrostomy, EUS, palliation and pancreatic biliary advanced cancer. RESULTS: Separately it was stated definition on the EUS biliary drainage procedures and it includes the techniques details and critical analysis. CONCLUSION: Hepatico- gastrostomy and Choledocho- duodenostomy are feasible when performed by endoscopists with expertise in bilio pancreatic endoscopy and advanced echo-endoscopy and should be performed currently under rigorous protocol in educational institutions.

Keywords : Endoscopic Ultrasonography; Biliary Drainage.

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