Endoscopy 2011; 43(9): 826-830
DOI: 10.1055/s-0030-1256406
Case report/series

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic ultrasound-guided biliodigestive drainage is a good alternative in patients with unresectable cancer

M.  A.  Ramírez-Luna1 , F.  I.  Téllez-Ávila1 , M.  Giovannini2 , F.  Valdovinos-Andraca1 , I.  Guerrero-Hernández1 , J.  Herrera-Esquivel3
  • 1Endoscopy department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México City, México
  • 2Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France
  • 3Endoscopy Department, Hospital General “Manuel Gea Gonzalez”, México City, México
Further Information

Publication History

submitted 26 October 2010

accepted after revision 4 March 2011

Publication Date:
10 August 2011 (online)

A total of 11 prospective cases of endoscopic ultrasound (EUS)-guided cholangio-drainage (EUCD) in patients with end-stage biliopancreatic cancer and biliary tract obstruction are reported. Other available drainage methods (endoscopic retrograde cholangiopancreatography and/or percutaneous transhepatic biliary drainage) of the biliary tract were attempted without success prior to EUS. Technical and clinical success was achieved in 10/11 patients (91 %) and in 9/10 patients (90 %), respectively. Bilirubin decreased by more than 50 % in 7/11 patients (64 %). One patient had a complication that required re-intervention and another patient developed biloma. No mortality directly related to the procedure was documented. In conclusion, EUCD is a good alternative for patients with malignant obstruction of the biliary tract in whom other drainage methods have failed.


M. A. Ramírez-LunaMD 

Endoscopy Department
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

Vasco de Quiroga #15
Col. Sección XVI Del. Tlalpan
C.P. 14000
Mexico City

Fax: +52-55-4870900

Email: mangelramirez@yahoo.com