In a multicenter study, endoscopic ultrasound-guided biliary drainage (EUS-BD) demonstrated superior efficacy to balloon enteroscopy-assisted ERCP (BEA-ERCP) for patients with surgically altered anatomy and unresectable malignant biliary obstruction. EUS-BD achieved a significantly higher technical success rate and shorter procedure times, while maintaining similar clinical success and adverse event rates. BEA-ERCP was identified as an independent predictor of technical failure, particularly in patients with Roux-en-Y reconstruction.
Journal Article by Itonaga M, Takenaka M (…) Kitano M et 16 al. in Dig Endosc
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