BACKGROUND AND OBJECTIVES: Endoscopic retrograde cholangiopancreatography (ERCP) is the method of choice for drainage in @entity1 with distal malignant @entity253 , but it fails in up to 10% of cases. Percutaneous transhepatic cholangiography (PTC) and surgical bypass are the traditional drainage alternatives. This study aimed to compare technical and clinical success, quality of life, and survival of surgical biliary bypass or hepaticojejunostomy (HJT) and endoscopic ultrasound (EUS)-guided @entity9834 ( @entity9834 ) in @entity1 with distal malignant bile duct obstruction and failed ERCP. @entity1 AND METHODS: A prospective, randomized trial was conducted. From March 2011 to September 2013, 32 @entity1 with @entity5 and failed ERCP were studied. The HJT group consisted of 15 @entity1 and the @entity9834 group consisted of 14 @entity1 . Technical and clinical success, quality of life, and survival were assessed prospectively. RESULTS: Technical success was 94% (15/16) in the HJT group and 88% (14/16) in the @entity9834 group (P = 0.598). Clinical success occurred in 14 (93%) @entity1 in the HJT group and in 10 (71%) @entity1 in the @entity9834 group (P = 0.169). During follow-up, a statistically significant difference was seen in mean functional capacity scores, physical health, @entity158 , social functioning, and emotional and mental health aspects in both techniques (P < 0.05). The median survival time in both groups was the same (82 days). CONCLUSION: Data relating to technical and clinical success, quality of life, and survival were similar in @entity1 who underwent HJT and @entity9834 drainage after failed ERCP for @entity5 .

Surgery or EUS-guided @entity9834 for XXXX after ERCP failure.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity9834 :: ('MESH:D017562', 'Disease') :: ['CDT', 'choledochoduodenostomy'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignant distal biliary obstruction'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity253 :: ('MESH:D001660', 'Disease') :: ['biliary obstruction']
@entity5 :: (MESH:D009369,Disease) :: ['malignant distal biliary obstruction']
