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World J Gastrointest Endosc. Aug 16, 2021; 13(8): 302-318
Published online Aug 16, 2021. doi: 10.4253/wjge.v13.i8.302
Endoscopic ultrasound-guided biliary drainage: Are we there yet?
Rishi Pawa, Troy Pleasant, Chloe Tom, Swati Pawa
Rishi Pawa, Troy Pleasant, Swati Pawa, Department of Internal Medicine, Section of Gastroenterology and Hepatology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, United States
Chloe Tom, Department of Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27101, United States
Author contributions: Pawa R provided topic outlining, literature review, expertise, graphics, original draft preparation and manuscript editing; Pleasant T and Tom C performed original draft preparation; Pawa S performed the expertise and manuscript editing; Pleasant T, Tom C, and Pawa S performed topic outlining, literature review.
Conflict-of-interest statement: None of the authors have any conflict of interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rishi Pawa, MBBS, Doctor, Department of Internal Medicine, Section of Gastroenterology and Hepatology, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-Salem, NC 27157, United States. rpawa@wakehealth.edu
Received: March 17, 2021
Peer-review started: March 17, 2021
First decision: May 4, 2021
Revised: May 14, 2021
Accepted: July 14, 2021
Article in press: July 14, 2021
Published online: August 16, 2021
Core Tip

Core Tip: Endoscopic ultrasound-guided biliary drainage (EUS-BD) has emerged as a promising procedure for the management of obstructive biliary disease following failed endoscopic retrograde cholangiography. A number of different techniques have been described, with both intrahepatic and extrahepatic approaches. Using EUS-BD, either transpapillary or transluminal biliary decompression can be attained. Increased experience in these techniques along with introduction of novel devices and stents has led to improved outcomes when performing EUS-BD.