2016 Volume 30 Issue 5 Pages 883-888
With the advent of balloon enteroscopy, we have come to be able to easily perform endoscopic biliary treatment (EBT) for patients with surgically altered anatomy (SAA).
On the other hand, a good level of effectiveness for EUS-guided biliary treatment (EUS-BT) in failed ERCP cases has been reported. And it has also been reported that EUS-BT enables EBT even in difficult cases of SAA.
We performed 13 EUS-BT's for patients with SAA, and these cases were all failed ERCP cases using double-balloon enteroscopy (DBE). This time, we retrospectively evaluated these cases. The technical success rate was 100% (13/13 cases). The complication rate was 7.7% (1/13 cases) and in that case plastic stent migration occured.
In conclusion, EUS-BT is useful in cases when ERCP failed using DBE. Although we are faced with many tasks, it is hoped that EUS-BT will be a standard procedure in the near future.
