Copyright ©The Author(s) 2019.
World J Gastrointest Endosc. May 16, 2019; 11(5): 354-364
Published online May 16, 2019. doi: 10.4253/wjge.v11.i5.354
Table 4 Advantages and disadvantages of the different techniques
ERCPWidely available Relative low complication rate (compared to PTBD and EUS-BD)Not feasible in case of inaccessible papilla
PTBDAvailable rescue therapy for ERCP failureHigh complication rate (bleeding-infection) External catheter Contraindicated if ascites
EUSDifferent possible approaches (HGA, CDS, GBD, RV) Internal drainage Same session of failed ERCP Fewer re-interventionsNot widely available High endoscopic ERCP/EUS expertise required Not yet standardized algorithm