2018 Volume 32 Issue 4 Pages 707-714
Although the utility of endoscopic biliary drainage for benign and malignant biliary stricture has been established, it was often difficult for hepaticojejunostomy cases with gastrointestinal reconstruction. In recent years, with the advent of balloon endoscope and endoscopic ultrasound-guided biliary drainage, endoscopic biliary drainage has also become possible in cases after hepaticojejunostomy, but sometimes we encounter difficult cases where treatment cannot be accomplished unless both procedures are used. Improvement of the safety and reliability is essential for the generalization of the techniques of endoscopic biliary drainage for patients after hepaticojejunostomy, and development of dedicated devices and further improvement of the endoscope are desired.
