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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2022; 13(02): 082-088
DOI: 10.1055/s-0042-1743519
Technical Review

Prevention of Serious Complications during Endoscopic Ultrasound-Guided Biliary Drainage: A Case-Based Technical Review

Surinder Singh Rana
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Jimil Shah
,
Harish Bhujade 
2   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Ujjwal Gorsi
2   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Mandeep Kang
2   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Rajesh Gupta
3   Department of Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
› Author Affiliations Finding No funding.
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Abstract

Endoscopic ultrasound-guided biliary drainage (EUS-BD) has a potential risk of clinically significant adverse events including fatal complications. Learning from complications improves the results from interventional procedures especially the high-risk procedure like EUS-BD. The various complications that have been reported following EUS-BD include bile leak, bleeding, cholangitis, peritonitis, stent migration both internal and external as well as in the peritoneal cavity and fatal perforations. In this technical review, we discuss technical strategies to prevent serious adverse events during EUS-BD using a case based approach.

Keywords

endoscopic ultrasound - stent - biliary drainage - endoscopic retrograde cholangiopancreatography

Authors' Contributions

Surinder Singh Rana was involved in drafting of manuscript and collection and analysis of data. Jimil Shah contributed in collection of data and drafting of manuscript. Harish Bhujade, Ujjwal Gorsi, Mandeep Kang, and Rajesh Gupta were involved in collection of data.




Publication History

Article published online:
05 July 2022

© 2022. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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