What is Endoscopic Ultrasound-Guided Biliary Drainage? – Agrawal Gastrocare Center Indore

Endoscopic Ultrasound-Guided Biliary Drainage (EUS-BD) is a medical procedure used to manage certain conditions affecting the bile ducts. This technique combines endoscopy and ultrasound imaging to precisely guide the drainage process, providing a targeted approach for better patient outcomes.

EUS-BD offers advantages such as a lower risk of complications, reduced discomfort for the patient, and increased success rates in cases where traditional methods may pose challenges.

During EUS-BD, a flexible endoscope equipped with an ultrasound probe is carefully inserted through the patient’s mouth and into the stomach or duodenum. The ultrasound allows the medical team to see the bile ducts with high accuracy.

What is Endoscopic Ultrasound-Guided Biliary Drainage? - Agrawal Gastrocare Center Indore


EUS-BD is commonly used when traditional methods of biliary drainage, such as endoscopic retrograde cholangiopancreatography (ERCP), are challenging or unsuccessful.

It is often recommended for conditions like obstructive jaundice, bile duct tumors, or strictures that restrict the normal flow of bile. It avoids major surgery, and EUS-BD generally has fewer risks and complications.

The Role of Ultrasound Imaging:

The ultrasound component of EUS-BD is crucial in providing real-time images of the bile duct anatomy. This aids in identifying the optimal puncture site for drainage, ensuring that the catheter is precisely positioned for effective bile diversion. This technique not only provides relief to patients but also contributes to faster recovery and improved overall well-being.

Procedure Steps:

  1. Endoscope Insertion: The endoscope is gently inserted through the mouth and advanced to the stomach or duodenum.
  2. Ultrasound Imaging: The ultrasound examination on the endoscope helps visualize the bile ducts and surrounding structures.
  3. Puncture and Drainage: A needle is carefully guided through the ultrasound images to puncture the bile duct, and a catheter is then advanced to allow for proper drainage.
  4. Confirmation: The placement is confirmed through imaging, ensuring the catheter is in the right position.

Dr. Amit Agarwal
Director & Gastroenterologist Consultant
Agarwal Gastrocare Center Indore

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