Drainage of the right liver using EUS guidance.

Abstract:

:Hepaticogastrostomy (HGS) has been reported for the management of palliative malignant hilar stricture and involves draining the left liver as rescue therapy. For the management of this complex stenosis, another new option for draining the right liver under EUS guidance was introduced. Ten publications involving 38 patients have been reported in the literature, in which the following two main techniques have been described: direct puncture of the right liver from the bulbus and the bridge technique allowing the drainage of the right liver across the left liver through HGS. In this review, we describe the techniques used and the potential advantages and complications of these procedures. Although this kind of drainage is demanding and probably limited to specific patients, EUS-biliary drainage of the right liver seems feasible with acceptable complications.

journal_name

Endosc Ultrasound

journal_title

Endoscopic ultrasound

authors

Caillol F,Rouy M,Pesenti C,Ratone JP,Giovannini M

doi

10.4103/eus.eus_52_19

subject

Has Abstract

pub_date

2019-11-28 00:00:00

pages

S50-S56

issue

Suppl 1

eissn

2303-9027

issn

2226-7190

pii

EUS-8-50

journal_volume

8

pub_type

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