Su1432 A COMPLETE ASSESSMENT OF THE ROLE OF EUS-GUIDANCE FOR BILIARY AND PANCREATIC DUCT ACCESS AND DRAINAGE

EUS-guided ductal access & drainage (EUS-D) of biliary (EUS-BD) or pancreatic duct (EUS-PD) has been used for 20 years. The need for EUS-BD is estimated at 3 in 1000 ERCPs (Holt, GIE-2016), excluding EUS-PD and prior biliary interventions. A complete assessment of the role of EUS-D requires considering the full spectrum of ERCP failure beyond failed cannulation, all patient populations & all indications. Data on concurrent institutional use of PTBD is required to interpret findings.

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