Outcomes of endoscopic-ultrasound-guided cholangiopancreatography: a literature review.

Abstract:

:Endoscopic retrograde cholangiopancreatography (ERCP) can fail in 3-10% of the cases even in experienced hands. Although percutaneous transhepatic cholangiography (PTC) and surgery are the traditional alternatives, there are morbidity and mortality associated with both. In this paper, we have discussed the efficacy and safety of endoscopic-ultrasound-guided cholangiopancreatography (EUS-CP) in decompression of biliary and pancreatic ducts. The overall technical and clinical success rates are around 90% for biliary and 70% for pancreatic duct drainage. The overall EUS-CP complication rate is around 15%. EUS-CP is, however, a technically challenging procedure and should be performed by an experienced endoscopist skilled in both EUS and ERCP. Same session EUS-CP as failed initial ERCP is practical and may result in avoidance of additional procedures. With increasing availability of endoscopists trained in both ERCP and EUS, the role of EUS-CP is likely to grow in clinical practice.

authors

Iqbal S,Friedel DM,Grendell JH,Stavropoulos SN

doi

10.1155/2013/869214

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

869214

eissn

1687-6121

issn

1687-630X

journal_volume

2013

pub_type

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