Cover Image

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...

Full description

Saved in:
Bibliographic Details
Main Authors: Khoo, Stanley, Do, Nhan Duc Tri, Kongkam, Pradermchai
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 13.211869

Similar Items