Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm
Malignant biliary obstruction (MBO) encompasses a variety of malignancies arising from the pancreaticobiliary system. This can be divided into malignant hilar biliary obstruction (MHBO) or malignant distal biliary obstruction (MDBO) biliary obstruction to which clinical outcomes and technical consid...
Saved in:
Main Authors: | , , |
---|---|
Format: | Article |
Published: |
WOLTERS KLUWER MEDKNOW PUBLICATIONS
2020
|
Online Access: | http://eprints.um.edu.my/36295/ |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
my.um.eprints.36295 |
---|---|
record_format |
eprints |
spelling |
my.um.eprints.362952023-12-28T08:21:48Z http://eprints.um.edu.my/36295/ Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm Khoo, Stanley Do, Nhan Duc Tri Kongkam, Pradermchai Malignant biliary obstruction (MBO) encompasses a variety of malignancies arising from the pancreaticobiliary system. This can be divided into malignant hilar biliary obstruction (MHBO) or malignant distal biliary obstruction (MDBO) biliary obstruction to which clinical outcomes and technical considerations of various biliary drainage methods may differ. EUS biliary drainage (EUS-BD) has been increasingly influential in the management of MBO together with other familiar biliary drainage methods such as ERCP and percutaneous transhepatic biliary drainage (PTBD). Conventionally, ERCP has always been the primary choice of endoscopic biliary drainage in both MHBO and MDBO and that PTBD or EUS-BD is used as a salvage method when ERCP fails for which current guidelines recommends PTBD, especially for MHBO. This review was able to show that with today's evidence, EUS-BD is equally efficacious and possesses a better safety profile in the management of MBO and should be on the forefront of endoscopic biliary drainage. Therefore, EUS-BD could be used either as a primary or preferred salvage biliary drainage method in these cases. WOLTERS KLUWER MEDKNOW PUBLICATIONS 2020-11 Article NonPeerReviewed Khoo, Stanley and Do, Nhan Duc Tri and Kongkam, Pradermchai (2020) Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm. ENDOSCOPIC ULTRASOUND, 9 (6). pp. 369-379. |
institution |
Universiti Malaya |
building |
UM Library |
collection |
Institutional Repository |
continent |
Asia |
country |
Malaysia |
content_provider |
Universiti Malaya |
content_source |
UM Research Repository |
url_provider |
http://eprints.um.edu.my/ |
description |
Malignant biliary obstruction (MBO) encompasses a variety of malignancies arising from the pancreaticobiliary system. This can be divided into malignant hilar biliary obstruction (MHBO) or malignant distal biliary obstruction (MDBO) biliary obstruction to which clinical outcomes and technical considerations of various biliary drainage methods may differ. EUS biliary drainage (EUS-BD) has been increasingly influential in the management of MBO together with other familiar biliary drainage methods such as ERCP and percutaneous transhepatic biliary drainage (PTBD). Conventionally, ERCP has always been the primary choice of endoscopic biliary drainage in both MHBO and MDBO and that PTBD or EUS-BD is used as a salvage method when ERCP fails for which current guidelines recommends PTBD, especially for MHBO. This review was able to show that with today's evidence, EUS-BD is equally efficacious and possesses a better safety profile in the management of MBO and should be on the forefront of endoscopic biliary drainage. Therefore, EUS-BD could be used either as a primary or preferred salvage biliary drainage method in these cases. |
format |
Article |
author |
Khoo, Stanley Do, Nhan Duc Tri Kongkam, Pradermchai |
spellingShingle |
Khoo, Stanley Do, Nhan Duc Tri Kongkam, Pradermchai Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm |
author_facet |
Khoo, Stanley Do, Nhan Duc Tri Kongkam, Pradermchai |
author_sort |
Khoo, Stanley |
title |
Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm |
title_short |
Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm |
title_full |
Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm |
title_fullStr |
Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm |
title_full_unstemmed |
Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm |
title_sort |
efficacy and safety of eus biliary drainage in malignant distal and hilar biliary obstruction: a comprehensive review of literature and algorithm |
publisher |
WOLTERS KLUWER MEDKNOW PUBLICATIONS |
publishDate |
2020 |
url |
http://eprints.um.edu.my/36295/ |
_version_ |
1787133815632691200 |
score |
13.18916 |