HIGHLIGHTS
- The ERCP even when done by experienced professionals, fails in 10% of cases.
- Until the development of the EUSBD, PTBD had a role as a rescue therapy, despite a high rate of adverse events.
- The EUS-BD is safe and has similar efficacy, when compared to PTBD and should be performed immediately after ERCP failure.
- A doctor with skills in both methods (ERCP/EUS) is needed to determine the best EUS-guided therapeutic option.
