Procedure Type
Minimally invasive endoscopicProcedure Duration
1 - 2 hoursHospital Stay (Days)
2 DaysEUS-guided biliary drainage is an advanced endoscopic procedure that is used to treat biliary obstructions when conventional ERCP (Endoscopic Retrograde Cholangiopancreatography) fails. In this procedure, an ultrasound device is used through the endoscope to visualize the bile ducts and guide the placement of a drainage stent. The goal is to bypass or relieve the obstruction, ensuring that bile can flow normally from the liver to the intestine.
ERCP is typically the first-line treatment for biliary obstructions. However, in some cases, ERCP fails due to reasons like anatomical variations, impacted stones, severe inflammation, or previous surgeries. When ERCP is unsuccessful, EUS-guided biliary drainage becomes an important alternative to provide relief, as it enables a direct approach to the bile duct without needing to revisit traditional surgical methods.
During the procedure, a flexible endoscope is passed through the mouth into the stomach and duodenum. Ultrasound imaging from within the endoscope helps the physician identify the bile duct and its obstruction. After confirming the position, the physician uses special instruments to insert a needle and guide a biliary stent into place, which allows bile to drain properly into the small intestine.
CHAIRMAN-GASTROENTEROLOGY
MBBS,MD Medicine,DM Gastroenterology
After EUS-guided biliary drainage, patients typically remain under observation for a few hours to monitor for complications. Most patients experience mild discomfort or a sensation of bloating, but this resolves within a day. Follow-up care may involve monitoring for stent patency and bile duct function via imaging tests. Some patients may require repeat procedures or interventions if stent blockage or migration occurs.
In emergency settings, EUS-guided biliary drainage can be a life-saving intervention. It provides immediate relief to patients with acute biliary obstruction who are not suitable candidates for surgery or who have failed previous ERCP attempts. This procedure is particularly valuable in emergency cases of cholangitis, where rapid bile drainage is critical to prevent sepsis and other life-threatening complications.
For patients suffering from chronic biliary obstruction, especially those with advanced cancer, EUS-guided biliary drainage can significantly enhance quality of life. By successfully relieving the blockage and restoring bile flow, this procedure alleviates symptoms such as jaundice, nausea, and abdominal pain. In many cases, it allows patients to resume normal eating and daily activities, improving overall comfort and well-being.
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