The role of endoscopic ultrasound guidance for biliary and pancreatic duct access and drainage to overcome the limitations of ERCP: a retrospective evaluation.
Francisco Javier García-AlonsoIrene Peñas-HerreroRamon Sanchez-OcanaMariano VillarroelMarta CimavillaSergio BazagaMarina De Benito SanzPaula Gil-SimonCarlos de la Serna-HigueraManuel Perez-MirandaPublished in: Endoscopy (2020)
EUS-DAD was required in 7.7 % of ERCPs for benign and malignant biliary/pancreatic duct indications. Salvage PTBD was required in 0.1 %. This high EUS-DAD rate reflects disease complexity, a wide definition of ERCP failure, and restrictive PTBD use, not poor ERCP skills. EUS-DAD effectively overcomes the limitations of ERCP eliminating the need for primary and salvage PTBD in most cases.