Evidence map›Paper›PMID 36255022›Full record

ReviewEndoscopic ultrasound

How to perform EUS-guided biliary drainage.

Christoph F Dietrich, Barbara Braden, Sean Burmeister, Lars Aabakken, Paolo Giorgio Arciadacono, Manoop S Bhutani, Manuela Götzberger, Andrew J Healey, Michael Hocke, Stephan Hollerbach and 16 more

Open access · greenAbstract readReview
In one paragraph

Review in Endoscopic ultrasound. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Endo-hepatology: Bridging the gap between lumen and liver.World journal of gastroenterology · 2025
    Review
  10. Review
  11. Review
  12. [Imaging in chronic inflammatory bowel disease].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  13. Article
  14. Article
  15. EUS-guided hepaticogastrostomy: practical tips and tricks.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 20 institutions in 10 countries.

Christoph F DietrichDepartment of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Department of Allgemeine Innere Medizin der Kliniken (DAIM) Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland.
Barbara BradenTranslational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK.
Sean BurmeisterHepato-Pancreatico-Biliary Unit, Groote Schuur Hospital, Cape Town, South Africa.
Lars AabakkenDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Paolo Giorgio ArciadaconoDivision of Pancreatobiliary Endoscopy and Endosonography, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Manoop S BhutaniDepartment of Gastroenterology Hepatology and Nutrition, UTMD Anderson Cancer Center, Houston, Texas, USA.
Manuela GötzbergerDepartment of Gastroenterology and Hepatology, München Klinik Neuperlach und Harlaching, Munich, Germany.
Andrew J HealeyRoyal Infirmary of Edinburgh, Edinburgh, UK.
Michael HockeMedical Department II, Helios Klinikum Meiningen, Meiningen, Germany.
Stephan HollerbachDepartment of Gastroenterology, Allgemeines Krankenhaus Celle, Celle, Germany.
André IgneeCaritas-Krankenhaus, Bad Mergentheim, Germany.
Christian JenssenMedical Department, Krankenhaus Maerkisch-Oderland, Strausberg and Brandenburg Institute of Clinical Ultrasound at Medical University Brandenburg, Neuruppin, Germany.
Christian JürgensenDepartment of Gastroenterology, Charite, Berlin, Germany.
Alberto LarghiDigestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Kathleen MoellerDepartment of Medical I/Gastroenterology, SANA Hospital Lichtenberg, Berlin, Germany.
Bertrand NapoléonHopital Privé J Mermoz Ramsay Générale de Santé, Lyon, France.
Mihai RimbasDepartment of Gastroenterology, Clinic of Internal Medicine, Colentina Clinical Hospital, Carol Davila University of Medicine, Bucharest, Romania.
Adrian SăftoiuDepartment of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Craiova, Romania.
Siyu SunDepartment of Endoscopy Center, Shengjing Hospital of China Medical University, Liaoning Province, China.
Anthony Yuen Bun TeohDepartment of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Giuseppe VanellaDivision of Pancreatobiliary Endoscopy and Endosonography, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Pietro FusaroliDepartment of Medical and Surgical Sciences, Gastrointestinal Unit, University of Bologna/Hospital of Imola, Imola, Italy.
Silvia CarraraDivision of Gastroenterology, Humanitas Clinical and Research Center, Digestive Endoscopy Unit, Milan, Italy.
Uwe WillDepartment of Gastroenterology, SRH Klinikum Gera, Gera, Germany.
Yi DongDepartment of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China.
Eike BurmesterMedizinische Klinik I, Sana Kliniken Luebeck, Luebeck, Germany.
Agostino Gemelli University Polyclinic · ITAllgemeines Krankenhaus Celle · DECaritas-Krankenhaus Bad Mergentheim · DECarol Davila University of Medicine and Pharmacy · ROCharité - Universitätsmedizin Berlin · DEChina Medical University · CNEdinburgh Royal Infirmary · GBFirst Affiliated Hospital of Zhengzhou University · CNGénérale de Santé · FRGroote Schuur Hospital · ZAHelios Vogtland Klinikum Plauen · DEHumanitas University · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITKrankenhaus Märkisch-Oderland · DEMünchen Klinik Neuperlach · DEOslo University Hospital · NOOxford University Hospitals NHS Trust · GBPrince of Wales Hospital · CNSana Klinikum Lichtenberg · DESRH Wald-Klinikum Gera · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EUS-guided biliary drainage (EUS-BD) has recently gained widespread acceptance as a minimally invasive alternative method for biliary drainage. Even in experienced endoscopy centers, ERCP may fail due to inaccessibility of the papillary region, altered anatomy (particularly postsurgical alterations), papillary obstruction, or neoplastic gastric outlet obstruction. Biliary cannulation fails at first attempt in 5%-10% of cases even in the absence of these factors. In such cases, alternative options for biliary drainage must be provided since biliary obstruction is responsible for poor quality of life and even reduced survival, particularly due to septic cholangitis. The standard of care in many centers remains percutaneous transhepatic biliary drainage (PTBD). However, despite the high technical success rate with experienced operators, the percutaneous approach is more invasive and associated with poor quality of life. PTBD may result in long-term external catheters for biliary drainage and carry the risk of serious adverse events (SAEs) in up to 10% of patients, including bile leaks, hemorrhage, and sepsis. PTBD following a failed ERCP also requires scheduling a second procedure, resulting in prolonged hospital stay and additional costs. EUS-BD may overcome many of these limitations and offer some distinct advantages in accessing the biliary tree. Current data suggest that EUS-BD is safe and effective when performed by experts, although SAEs have been also reported. Despite the high number of clinical reports and case series, high-quality comparative studies are still lacking. The purpose of this article is to report on the current status of this procedure and to discuss the tools and techniques for EUS-BD in different clinical scenarios.

Indexed as

acute cholecystitisERCPEUSEUS-guided biliary drainageEUS-guided gallbladder drainageobstructive jaundice

Identifiers

PMID36255022
PMCPMC9688140
OpenAlexW4303509666

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.