Defining failure of endoluminal biliary drainage in the era of endoscopic ultrasound and lumen apposing metal stents

The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therap...

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Veröffentlicht in:World journal of gastroenterology : WJG Jg. 30; H. 29; S. 3534
Hauptverfasser: Ali, Faisal S, Guha, Sushovan
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 07.08.2024
Schlagworte:
Bile Ducts - diagnostic imaging
Bile Ducts - surgery
Cholangiopancreatography, Endoscopic Retrograde - instrumentation
Cholangiopancreatography, Endoscopic Retrograde - methods
Cholestasis - diagnostic imaging
Cholestasis - etiology
Cholestasis - surgery
Cholestasis - therapy
Drainage - instrumentation
Drainage - methods
Endosonography - instrumentation
Endosonography - methods
Humans
Metals
Stents
Treatment Failure
Lumen-apposing metal stent
Gallbladder
Biliary obstruction
Guided biliary drainage
Endoscopic ultrasound
ISSN:2219-2840, 2219-2840
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Zusammenfassung:The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therapeutic endoscopy, what was once considered endoscopic failure has transformed into failure of an approach that could be salvaged by a second- or third-line endoscopic strategy. Incorporation of these advancements in routine patient care will require formal training and multidisciplinary acceptance of established techniques and collaboration for advancement of experimental techniques to generate robust evidence that can be utilized to serve patients to the best of our ability.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Correspondence-3
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ISSN:2219-2840
2219-2840
DOI:10.3748/wjg.v30.i29.3534