Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. May 16, 2019; 11(5): 345-353
Published online May 16, 2019. doi: 10.4253/wjge.v11.i5.345
Endoscopic ultrasound-guided biliary drainage: A change in paradigm?
En-Ling Leung Ki, Bertrand Napoleon
En-Ling Leung Ki, Bertrand Napoleon, Department of Gastroenterology, Jean Mermoz Private Hospital, 55 avenue Jean Mermoz, Lyon 69008, France
Author contributions: Both EL Leung Ki and Napopleon B contributed to the writing, editing, and final approval of the manuscript.
Conflict-of-interest statement: Dr En-Ling Leung Ki EL declares no conflicts of interest. Dr Bertrand Napoleon declares educational fees and non-financial support from Boston Scientific, educational fees from Maunakea Technology, educational fees from Ipsen Pharma, educational fees from Cousin Endosurg, educational fees and non-financial support from Olympus, outside the submitted work.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Bertrand Napoleon, MD, Doctor, Consultant Specialist Gastroenterologist, Department of Gastroenterology, Jean Mermoz Private Hospital, 55 avenue Jean Mermoz, Lyon 69008, France.
Telephone: +33-478-757870 Fax: +33-478-742655
Received: March 18, 2019
Peer-review started: March 20, 2019
First decision: May 8, 2019
Revised: May 11, 2019
Accepted: May 13, 2019
Article in press: May 14, 2019
Published online: May 16, 2019
Core Tip

Core tip: Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been developed as an alternative means of biliary drainage for malignant biliary obstruction. EUS-BD must replace percutaneous transhepatic biliary drainage as the salvage procedure of choice in failed endoscopic retrograde cholangiopancreatography when endoscopic expertise is available. The advent of novel all-in-one EUS-BD specific devices, as well as the growing experience and training of endosonographers are promising for the development of EUS-BD as a first-line technique.