Published online Feb 16, 2019. doi: 10.4253/wjge.v11.i2.103
Peer-review started: December 21, 2019
First decision: January 6, 2019
Revised: January 23, 2019
Accepted: February 13, 2019
Article in press: February 13, 2019
Published online: February 16, 2019
Core tip: Endoscopic ultrasound-guided biliary drainage (EUS-BD) has recently been introduced as a valuable approach case in patients with failed endoscopic retrograde cholangiopancreaticography (ERCP). Evidence suggests that EUS-BD is equally effective and safer than the percutaneous approach. EUS-BD has even been proposed as a first-line procedure (replacing ERCP) in selected indications. Various approaches for EUS-BD exist, depending on the type (malignant or benign) and location (distal or proximal) of the biliary obstruction, and the anatomy of the upper gastrointestinal tract (surgically altered or not). This review gives an overview of the technique and the available data of EUS-BD in several indications.