Abstract
BackgroundEndoscopic ultrasonography (EUS)-guided choledochoduodenostomy (CDS) is an alternative to percutaneous transhepatic cholangiography (PTC) drainage in patients with an obstructed biliary system where conventional endoscopic retrograde biliary drainage (ERBD) has been unsuccessful. MethodsFive EUS-CDS procedures were reviewed to assess whether successful decompression was achieved and maintained. ResultsThere was technical success in each instance with no immediate complications. There was a significant fall in the median bilirubin of 164mmol/l. The median follow-up was 44 days. In one patient the stent migrated with no adverse outcome. ConclusionEUS-CDS is a viable alternative to PTC with fewer complications and comparable success rates. EUS-CDS may offer a future route for novel therapeutic advances.
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