Year 2025 / Volume 117 / Number 12
Letter
Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) as first-line treatment for malignant distal biliary obstruction

789-790

DOI: 10.17235/reed.2024.10735/2024

Claudia Álvarez Varela, José Ramón Foruny Olcina, Sergio López-Durán, Ana García García de Paredes, Eduardo Tavío, Carlota Meruéndano Padrón, Agustín Albillos, Enrique Vázquez Sequeiros,

Abstract
In patients with malignant distal biliary obstruction, drainage via Endoscopic Ultrasound-guided Choledochoduodenostomy (EUS-CDS) is indicated in clinical guidelines following a failed Endoscopic Retrograde Cholangiopancreatography (ERCP). However, current interest lies in evaluating its role as a first-line treatment. Through this letter, we present a case report that represents this clinical scenario, as well as a brief summary of the most recent literature supporting the use of EUS-CDS as a first-line treatment for malignant distal biliary obstruction.
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References
1. van der Merwe SW, van Wanrooij RLJ, Bronswijk M, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2022;54:185-205.
2. Garcia-Sumalla A, Loras C, Sanchiz V, et al. Multicenter study of lumen-apposing metal stents with or without pigtail in endoscopic ultrasound-guided biliary drainage for malignant obstruction-BAMPI TRIAL: an open-label, randomized controlled trial protocol. Trials 2022;23:181.
3. Chen Y-I, Sahai A, Donatelli G, et al. Endoscopic Ultrasound-Guided Biliary Drainage of First Intent With a Lumen-Apposing Metal Stent vs Endoscopic Retrograde Cholangiopancreatography in Malignant Distal Biliary Obstruction: A Multicenter Randomized Controlled Study (ELEMENT Trial). Gastroenterology 2023;165:1249-1261.e5.
4. Teoh AYB, Napoleon B, Kunda R, et al. EUS-Guided Choledocho-duodenostomy Using Lumen Apposing Stent Versus ERCP With Covered Metallic Stents in Patients With Unresectable Malignant Distal Biliary Obstruction: A Multicenter Randomized Controlled Trial (DRA-MBO Trial). Gastroenterology 2023;165:473-482.e2.
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Citation tools
Álvarez Varela C, Foruny Olcina J, López-Durán S, García García de Paredes A, Tavío E, Meruéndano Padrón C, et all. Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) as first-line treatment for malignant distal biliary obstruction. 10735/2024


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Publication history

Received: 21/08/2024

Accepted: 11/09/2024

Online First: 18/10/2024

Published: 12/12/2025

Article Online First time: 58 days

Article editing time: 478 days


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