A comparison between endoscopic ultrasound-guided rendezvous and percutaneous biliary drainage after failed ERCP for malignant distal biliary obstruction

Background and study Aims: Selective biliary cannulation is unsuccessful in 5 % to 10 % of patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) for malignant distal biliary obstruction (MDBO). Percutaneous biliary drainage (PBD) has been the gold standard, but endoscopic ultras...

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Bibliographic Details
Main Authors: Bill, Jason G., Darcy, Michael, Fujii-Lau, Larissa L., Mullady, Daniel K., Gaddam, Srinivas, Murad, Faris M., Early, Dayna S., Edmundowicz, Steven A., Kushnir, Vladimir M.
Format: Online
Language:English
Published: © Georg Thieme Verlag KG 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5025302/
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Summary:Background and study Aims: Selective biliary cannulation is unsuccessful in 5 % to 10 % of patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) for malignant distal biliary obstruction (MDBO). Percutaneous biliary drainage (PBD) has been the gold standard, but endoscopic ultrasound guided rendezvous (EUSr) have been increasingly used for biliary decompression in this patient population. Our aim was to compare the initial success rate, long-term efficacy, and safety of PBD and EUSr in relieving MDBO after failed ERC