Transbulbäre und transgastrale Gallengangsdrainage

Die endoskopisch retrograde Cholangiopankreatikografie (ERCP) ist der Goldstandard für die Drainage der obstruktiven Cholestase maligner und benigner Erkrankungen, mit einer geringen Misserfolgsrate von 4–16% [1]. Bei fehlgeschlagener ERCP stehen verschiedene endosonografisch geführte Rescue-Verfahren (EUS-BD) zur Verfügung, deren Indikation und Durchführung im Folgenden vorgestellt werden.

Schlüsselwörter

endoskopisch retrograd - Cholangiopankreatikografie - endoskopischer Ultraschall - biliäre Drainage - EUS-geführt

• Literatur

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