Table 5.
EUS-BEA | EUS-RV | EUS-AT | |
Indication | Patients with malignant biliary obstruction after failed ERCP | Patients with failed biliary cannulation in ERCP | Patients with malignant biliary obstruction after failed ERCP |
Advantage | Not traversing the malignant stricture | Leading to ERCP related procedure | Possible in patients with altered upper GI anatomy |
Weak point | Necessity of fistula dilation | Difficult guidewire manipulation | Difficult guidewire manipulation |
Lack of dedicated stent | Difficulty in patient who was not accessible to the papilla |
ERCP: Endoscopic retrograde cholangiopancreatography; EUS-RV: Endoscopic ultrasonography-guided rendezvous procedure; EUS-BEA: Endoscopic ultrasonography-guided bilioenteric anastomosis; GI: Gastrointestinal; US-AT: Endoscopic ultrasonography-guided antegrade treatment.