Interventional EUS improves biliary drainage success in patients

In a retrospective multicenter study of 432 patients with surgically altered anatomy, endoscopic biliary drainage (BD) achieved technical and clinical success rates of 80.3% and 79.9%, respectively. Adverse events were more common in those with Billroth-II reconstruction (14.4%). Notably, the last two years showed increased use of interventional EUS, leading to significantly better clinical outcomes (OR=7.87, p<0.001). Yet, overall success rates remain suboptimal across all surgical reconstruction types.