Abstract
• The ERCP even when done by experienced professionals, fails in 10% of cases. • Until the development of the EUS-BD, PTBD had a role as a rescue therapy, despite a high rate of adverse events. • The EUS-BD is safe and has similar efficacy, when compared to PTBD and should be performed immediately after ERCP failure. • A doctor with skills in both methods (ERCP/EUS) is needed to determine the best EUS-guided therapeutic option.
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