Comparision of PTBD, ERCP, and EUS for Advanced Hilar Biliary Obstrucion
PTBD | ERCP | EUS | |
---|---|---|---|
Pros | Well-tailored method | Well-establised method | Accessible in altered anatomy or failed ERCP |
Higher technical and clinical success as a primary or rescue technique | Primary clinical and long term data available | Single step in ERCP room | |
Possible selective lobar selecion | |||
Cons | Impaired quality of life | Complexity in high-grade strictures | Limited data |
Relatively high adverse events | Difficult revision in multiple metal stents | No definite tailored methods and accessories | |
Performed in special centers |
PTBD, percutaneous transhepatic biliary drainage; ERCP, endoscopic retrograde cholangiopancreatography; EUS, endoscopic ultrasound.