BACKGROUND: Endoscopic ultrasonography (EUS)-guided @entity9834 ( @entity9834 ) is as an alternative to percutaneous transhepatic biliary drainage (PTBD) in @entity1 with @entity253 when endoscopic retrograde biliary drainage (ERBD) is unsuccessful. PURPOSE: We reviewed our experience and technique in @entity1 undergoing EUS- @entity9834 . @entity1 : Over a 2-year period to December 2008, 15 @entity1 with unsuccessful ERBD underwent EUS- @entity9834 . METHODS: EUS-guided needle puncture was performed to access the bile duct from the duodenal bulb. After cholangiography, a guidewire was inserted through the needle and directed to the hepatic hilum. The punctured @entity292 was then dilated with a biliary dilator and a plastic stent was inserted. RESULTS: The technical success rate of EUS- @entity9834 was 93% (14/15 @entity1 ); 1 @entity1 underwent an EUS-guided rendezvous approach because the choledochoduodenal @entity292 could not be dilated. Decompression of the bile duct was achieved in all @entity1 . Complications included @entity255 in 4 @entity1 , self-limiting local @entity298 in 2 and distal stent migration in 1 @entity1 . The median follow-up time was 125 days and the median duration of stent patency was 99 days. CONCLUSION: EUS- @entity9834 may be effective for @entity1 following unsuccessful ERBD and offers an attractive alternative to PTBD.

Endoscopic ultrasonography-guided biliary drainage: evaluation of a XXXX technique.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity9834 :: ('MESH:D017562', 'Disease') :: ['CDS', 'choledochoduodenostomy'] @entity298 :: ('MESH:D010538', 'Disease') :: ['peritonitis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity253 :: ('MESH:D001660', 'Disease') :: ['biliary obstruction'] @entity255 :: ('MESH:D002761', 'Disease') :: ['cholangitis']
@entity9834 :: (MESH:D017562,Disease) :: ['choledochoduodenostomy']
