Endoscopic Ultrasound-Guided Biliary Drainage

Jeremy S. Nussbaum, Nikhil A. Kumta

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Endoscopic retrograde cholangiopancreatography is the preferred procedure for biliary drainage in benign and malignant obstructions. Endoscopic ultrasound-guided biliary drainage is an emerging technique for when endoscopic retrograde cholangiopancreatography fails. It is a highly versatile procedure with several options of access point, stent direction, and drainage route. Based on the current literature, the cumulative success rate is 88% to 93%, with an overall complication rate of 13% to 20%. Endoscopic ultrasound-guided biliary drainage seems to be an effective and valuable alternative technique after failed endoscopic retrograde cholangiopancreatography when performed by highly skilled endoscopists.

Original languageEnglish
Pages (from-to)277-291
Number of pages15
JournalGastrointestinal Endoscopy Clinics of North America
Issue number2
StatePublished - Apr 2019


  • Biliary drainage
  • Choledochoduodenostomy
  • Endoscopic ultrasound
  • Hepaticogastrostomy
  • Rendezvous procedure
  • Therapeutic endoscopic ultrasound


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