Original Articles
ERCP and Interventional EUS for biliary tract disease in surgically altered anatomy without biliary tract reconstruction
2025 Volume 39 Issue 2 Pages 179-188
Details
2025 Volume 39 Issue 2 Pages 179-188
The selection criteria between ERCP and Interventional-EUS (I-EUS) for biliary disease with surgically altered anatomy (SAA) have not yet been clarified.
In this study, we retrospectively reviewed the endoscopic results of the most recent 5-year period in patients with SAA without biliary reconstruction.
ERCP was performed in 67 cases and I-EUS in 14 cases.
The success rates for ERCP and I-EUS were 83.6% and 92.9%, and the adverse event rates were 11.9% and 7.1%, with no significant differences between them.
The median total procedure time was 105 minutes for ERCPs and 51 minutes for I-EUS, with significantly shorter results for I-EUS.
I-EUS showed comparable success rate and safety to ERCP for biliary disease in SAA without biliary reconstruction, and also showed an advantage of shorter procedure time.
