Document Type

Article

Publication Date

5-2016

Comments

This article has been peer reviewed. It is the author’s final published version in Endoscopic Ultrasound

Volume 5, Issue 3, May-June 2016, Pages 149-156.

The published version is available at DOI: 10.4103/2303-9027.183969. Copyright © Spring Media Publishing Co. Ltd.

Abstract

The management of pancreaticobiliary disease in patients with surgically altered anatomy is a growing problem for gastroenterologists today. Over the years, endoscopic ultrasound (EUS) has emerged as an important diagnostic and therapeutic modality in the treatment of pancreaticobiliary disease. Patient anatomy has become increasingly complex due to advances in surgical resection of pancreaticobiliary disease and EUS has emerged as the therapy of choice when endoscopic retrograde cholangiopancreatography failed cannulation or when the papilla is inaccessible such as in gastric obstruction or duodenal obstruction. The current article gives a comprehensive review of the current literature for EUS-guided intervention of the pancreaticobiliary tract in patients with altered surgical anatomy.

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