Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches

doi:10.3748/wjg.v32.i2.113071

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jan 14, 2026; 32(2): 113071
Published online Jan 14, 2026. doi: 10.3748/wjg.v32.i2.113071

Table 1 Different types of surgical altered anatomy and the corresponding endoscopic ultrasound-guided biliary drainage procedures

Surgically altered anatomy	EUS biliary drainage procedure
Sleeve gastrectomy	EUS-CD, rendezvous, EUS HGS, antegrade drainage
Billroth-I gastrectomy	EUS-CD, rendezvous, EUS-HGS, antegrade drainage
Billroth-II gastrectomy	EUS-HGS, rendezvous, antegrade drainage
Roux-en-Y gastric bypass	EUS-HGS, antegrade drainage, EDGE
Whipple’s procedure	EUS-HGS, rendezvous, antegrade drainage
Hepaticojejunostomy	EUS HGS, rendezvous, antegrade drainage

EUS: Endoscopic ultrasound; EDGE: Endoscopic ultrasound directed transgastric endoscopic retrograde cholangiopancreatography; EUS-HGS: Endoscopic ultrasound-guided hepatogastrostomy; EUS-CD: Endoscopic ultrasound-guided choledochoduodenostomy.

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Citation: Cocca S, Casoni Pattacini G, Grova A, Esposito S, Lupo M, Ferrante M, Grande G, Guidotti C, Pigò F, Li Cavoli TV, Mussetto A, Piccoli M, Conigliaro R, Bertani H. Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches. World J Gastroenterol 2026; 32(2): 113071
URL: https://www.wjgnet.com/1007-9327/full/v32/i2/113071.htm
DOI: https://dx.doi.org/10.3748/wjg.v32.i2.113071

Cocca S, Casoni Pattacini G, Grova A, Esposito S, Lupo M, Ferrante M, Grande G, Guidotti C, Pigò F, Li Cavoli TV, Mussetto A, Piccoli M, Conigliaro R, Bertani H. Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches. World J Gastroenterol 2026; 32(2): 113071 [PMID: 41551827 DOI: 10.3748/wjg.v32.i2.113071]

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