| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Minireviews |
| Article Title |
Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Silvia Cocca, Gianmaria Casoni Pattacini, Alessandro Grova, Sofia Esposito, Marinella Lupo, Mario Ferrante, Giuseppe Grande, Chiara Guidotti, Flavia Pigò, Tancredi Vincenzo Li Cavoli, Alessandro Mussetto, Micaela Piccoli, Rita Conigliaro and Helga Bertani |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Silvia Cocca, PhD, Gastroenterology and Endoscopy Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, Via Pietro Giardini 1355, Modena 41124, Emilia-Romagna, Italy. silvia.cocca@gmail.com |
| Key Words |
Surgical altered anatomy; Enteroscopy; Endoscopic ultrasound; Biliary drainage; Endoscopic retrograde cholangiopancreatography |
| Core Tip |
In patients with altered anatomy, endoscopic retrograde cholangiopancreatography is technically demanding and requires expertise in device-assisted enteroscopy. Success depends on anticipating limitations such as scope instability, restricted reach, and prolonged procedure time, and on recognizing when to switch to alternative strategies. Endoscopic ultrasound-guided drainage has become an important option in long-limb reconstructions, while percutaneous transhepatic biliary drainage remains the most frequently used rescue technique, with surgical alternatives still possible in selected cases. Highlighting these practical considerations helps distinguish expert-level decision-making from a general overview. |
| Publish Date |
2026-01-12 09:50 |
| Citation |
Cocca S, Casoni Pattacini G, Grova A, Esposito S, Lupo M, Ferrante M, Grande G, Guidotti C, Pigò F, Li Cavoli TV, Mussetto A, Piccoli M, Conigliaro R, Bertani H. Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches. World J Gastroenterol 2026; 32(2): 113071 |
| URL |
https://www.wjgnet.com/1007-9327/full/v32/i2/113071.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v32.i2.113071 |
