Table 5.
Summary of studies using EUS - biliary drainage versus percutaneous transhepatic biliary drainage
| Authors | Study Design | Patients (n) | Pathology | Intervention | Technical Success rate, % (n) | Clinical Success rate, % (n) | Adverse Events, % (n) |
|---|---|---|---|---|---|---|---|
| Artifon et al. (2012)[48] | Prospective, single center | 25 | MDBO | EUS-CDS versus PTBD | 100 (13/13) versus 100 (12/12) | 100 (13/13) versus 100 (12/12) | 15.3 (2/13) versus 25 (3/12), P=0.44 |
| Bapaye et al. (2013)[49] | Retrospective, single center | 50 | 50 MDBO | EUS BD (CDS/HGS) versus PTBD | 92 (23/25) versus 46 (12/26), P<0.05 | 92 (23/25) versus 46 (12/26), P<0.05 | 20 (5/25) versus 46 (12/26), P<0.05 |
| Khashab et al. (2015)[50] | Retrospective, Single Center | 73 | MDBO | EUS CDS versus PTBD | 86.4 (19/22) versus 100 (51/51), P=0.007 | 100 (19/19) versus 86.4 (47/51), P=0.40 | 18.2 (4/22) versus 39.2 (36/51), P<0.001 |
| Sharaiha et al. (2016)[51] | Retrospective, Single Center | 60 | 50 MDBO | EUS-BD (CDS/HGS) versus PTBD | 91.6 (43/47) versus 93.3 (12/13), P=1.000 | 62.2 (29/47) versus 25 (3/13), P=0.03 | 6.6 (3/47) versus 53.8 (7/13), P=0.001 |
| Lee et al. (2016)[52] | Prospective, Multicenter | 66 | MDBO | EUS CDS versus PTBD | 94.1 (32/34) versus 96.9 (31/32), P=0.008 | 87.5 (28/32) versus 87.1 (27/31), P=1.00 | 8.8 (3/34) versus 31.2 (10/32) , P=0.022 |
| Sportes et al. (2017)[53] | Retrospective, Single Center | 51 | MDBO | EUS-HGS versus PTBD | 100 (31/31) versus 100 (20/20), P=1.00 | 86 (25/31) versus 83 (15/20), P=0.88 | 16 (5/31) versus 10 (2/20) |
| Kongkam et al. (2020)[47] | Prospective, Multi-center | 36 | MHBO | EUS-BD (CERES) versus PTBD | 84.2 (16/19) versus 100 (17/17), P=0.23 | 78.9 (15/19) versus 76.5 (13/17), P=1.00 | 23.6 (5/19) versus 35.3 (6/17), P=0.56 |
BD: Biliary drainage; CERES: Combined ERCP and EUS-BD; PTBD: Percutaneous transhepatic biliary drainage; CDS: Choledochoduodenostomy; HGS: Hepaticogastrostomy; MHBO: Malignant hilar biliary obstruction; MBO: Malignant biliary obstruction