Endoscopic ultrasound-guided biliary drainage: a literature review

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDA-SILVA, RODRIGO RODA RODRIGUES
dc.contributor.authorMAFRA, LUCAS GALLO DE ALVARENGA
dc.contributor.authorBRUNALDI, VITOR OTTOBONI
dc.contributor.authorALMEIDA, LETÍCIA FRANÇA DE
dc.contributor.authorARTIFON, EVERSON LUIZ DE ALMEIDA
dc.date.accessioned2023-05-08T14:57:46Z
dc.date.available2023-05-08T14:57:46Z
dc.date.issued2023
dc.description.abstractABSTRACT Neoplasms of the biliopancreatic confluence may present with obstruction of the bile tract, leading to jaundice, pruritus and cholangitis. In these cases drainage of the bile tract is imperative. Endoscopic retrograde cholangiopancreatography (ERCP) with placement of a choledochal prosthesis is an effective treatment in about 90% of cases, even in experienced hands. In cases of ERCP failure, therapeutic options traditionally include surgical bypass by hepaticojejunostomy (HJ) or percutaneous transparietohepatic drainage (DPTH). In recent years, endoscopic ultrasound-guided biliary drainage techniques have gained space because they are less invasive, effective and have an acceptable incidence of complications. Endoscopic echo-guided drainage of the bile duct can be performed through the stomach (hepatogastrostomy), duodenum (choledochoduodenostomy) or by the anterograde drainage technique. Some services consider ultrasound-guided drainage of the bile duct the procedure of choice in the event of ERCP failure. The objective of this review is to present the main types of endoscopic ultrasound-guided biliary drainage and compare them with other techniques.eng
dc.description.abstractRESUMO Neoplasias da confluência biliopancreática podem cursar com obstrução da via biliar, levando a icterícia, prurido e colangite. Nesses casos a drenagem da via biliar é imperativa. A colangiopancreatografia endoscópica retrógrada (CPER) com colocação de prótese coledociana constitui tratamento eficaz em cerca de 90% dos casos mesmo em mãos experientes. Nos casos de insucesso da CPER, tradicionalmente as opções terapêuticas incluem a derivação cirúrgica por hepaticojejunostomia (HJ) ou drenagem percutânea transparietohepática (DPTH). Nos últimos anos as técnicas endoscópicas ecoguiadas de drenagem biliar ganharam espaço por serem menos invasivas, eficazes e apresentarem incidência aceitável de complicações. A drenagem endoscópica ecoguiada da via biliar pode ser realizada pelo estômago (hepatogastrostomia), duodeno (coledocoduodenostomia) ou pela técnica de drenagem anterógrada. Alguns serviços consideram a drenagem ecoguiada da via biliar o procedimento de escolha no caso de insucesso da CPER. O objetivo desta revisão é apresentar os principais tipos de drenagem biliar endoscópica ecoguiada e confrontá-los com outras técnicas.por
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexSciELO
dc.description.indexScopus
dc.identifier.citationREVISTA DO COLéGIO BRASILEIRO DE CIRURGIõES, v.50, p.e20233414, 2023
dc.identifier.doi10.1590/0100-6991e-20233414-en
dc.identifier.issn1809-4546
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/53343
dc.language.isoengpor
dc.language.isopor
dc.publisherColégio Brasileiro de Cirurgiõeseng
dc.relation.ispartofRevista do Colégio Brasileiro de Cirurgiões
dc.rightsopenAccesseng
dc.rights.holderCopyright Colégio Brasileiro de Cirurgiõeseng
dc.subjectEndosonographyeng
dc.subjectCholedochostomyeng
dc.subjectBiliary Tract Neoplasmseng
dc.subjectStentseng
dc.subjectCholestasiseng
dc.subjectEndossonografiaeng
dc.subjectColedocostomiaeng
dc.subjectNeoplasias do Sistema Biliareng
dc.subjectColestaseeng
dc.subject.wosSurgeryeng
dc.titleEndoscopic ultrasound-guided biliary drainage: a literature revieweng
dc.title.alternativeDrenagem biliar endoscópica ecoguiada: revisão da literaturaeng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalDA-SILVA, RODRIGO RODA RODRIGUES:Universidade Federal de Minas Gerais, Brazil; Hospital Mater Dei Santo Agostinho, Brasil
hcfmusp.author.externalMAFRA, LUCAS GALLO DE ALVARENGA:Hospital Mater Dei Santo Agostinho, Brasil
hcfmusp.author.externalALMEIDA, LETÍCIA FRANÇA DE:Hospital Mater Dei Santo Agostinho, Brasil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcVITOR OTTOBONI BRUNALDI
hcfmusp.contributor.author-fmusphcEVERSON LUIZ DE ALMEIDA ARTIFON
hcfmusp.description.beginpagee20233414
hcfmusp.description.volume50
hcfmusp.origemsciELO
hcfmusp.origem.pubmed36995833
hcfmusp.origem.scieloSCIELO:S0100-69912023000100301
hcfmusp.origem.scopus2-s2.0-85151573959
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