Abstract
Endoscopic retrograde cholangiopancreatography is a gold standard in treatment patients with biliary obstructions, ensuring transpapillary drainage - anatomical. It is an established method for treatment of patients with benign and malignant biliary obstruction. In the case of ineffectiveness of transpapillary drainage, the alternative is still percutaneous drainage of the bile ducts or surgical drainage. The development of advanced endoscopic ultrasonography techniques has enabled extra-anatomical approach to the bile ducts, making it possible not only to perform endoscopic anastomoses of the bile ducts with the digestive tract, but also to obtain extra-anatomic transpapillary access. This is an alternative to the existing methods of biliary drainage in the case of ERCP ineffectiveness.
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