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Irisawa A et al. – Prior to the development of EUS–guided drainage procedures, the options for treating obstruction of the pancreatobiliary system included surgical drainage, percutaneous drainage using ultrasound and radiological guidance, and endoscopic transmural drainage. Using EUS guidance and dedicated accessories, it is possible to create bilio– or pancreato–digestive anastomosis, EUS–guided biliary drainage, and EUS–guided pancreatic drainage. The recent literature describes that EUS–BD and EUS–PD have acceptable success and complication rates. These procedures are anticipated for use as alternatives to surgery or percutaneous drainage when endoscopic transpapillary procedures fail.

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