Evidence map›Paper›PMID 41518589›Full record

ReviewUnited European gastroenterology journal2026

Changing the Flow: How EUS-Guided Drainage is Reshaping the Management of Distal Malignant Biliary Obstruction.

Jeska A Fritzsche, Inge de Vries, Jeanin E van Hooft, Rogier P Voermans, Roy L J van Wanrooij

Abstract readReview
In one paragraph

Review in United European gastroenterology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. UEG Journal-In Times of Turmoil, Science Matters.United European gastroenterology journal · 2026
    Article
  3. Review
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

5 authors.

Jeska A FritzscheDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.
Inge de VriesDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.
Jeanin E van HooftDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, the Netherlands.
Rogier P VoermansDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9969-019X
Roy L J van WanrooijCancer Center Amsterdam, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic ultrasound-guided biliary drainage (EUS-BD) has evolved from a rescue therapy into a viable alternative to endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous drainage for distal malignant biliary obstruction (dMBO). Among the available techniques, EUS-guided choledochoduodenostomy (EUS-CDS) has become the preferred approach, supported by expanding evidence, and wider adoption beyond expert centres. EUS-guided hepaticogastrostomy (EUS-HGS) currently retains a role in high-volume centres and in patients with combined biliary and duodenal obstruction, while other approaches, including EUS-guided gallbladder drainage, antegrade stenting, and rendezvous procedures, are applied selectively due to limited evidence or narrower applicability. This review summarizes the current role of EUS-BD in dMBO, with emphasis on EUS-CDS. Technical and clinical considerations, training requirements, and remaining challenges are discussed, and future perspectives are outlined, focusing on device innovation and patient-centred outcomes to guide safe and structured integration of EUS-BD into clinical practice.

Indexed as

CholestasisDrainageEndosonographyUltrasonography, InterventionalCholangiopancreatography, Endoscopic RetrogradeCholedochostomyHumansStentsbiliary drainagedistal malignant biliary obstructionEUS‐guided biliary drainageEUS‐guided choledochoduodenostomyEUS‐guided hepaticogastrostomylumen‐apposing metal stent

Identifiers

PMID41518589
PMCPMC12790339

What OpenQuestion holds

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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.