Is there a place for the nasobiliary drain among stents for biliary drainage?

摘要

I read with great interest the European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline by Dumonceau et al. [1 ], describing the indications, choice of stents, and results in biliary stenting. Surprisingly, they did not mention endoscopic naso-biliary drainage (ENBD) as a choice among endoscopic measures. I think that, on the basis of a brief literature review, ENBD should find a place among the stents for biliary drainage. Biliary drainage can be performed by means of endoscopic, percutaneous, or surgical methods, the endoscopic approach being the initial and most appropriate choice because of its less invasive nature and an acceptable complication rate [2-4]. Each modality of endoscopic drainage, internal stenting or external drainage (ENBD), has its own advantages and disadvantages [4].