Ultrasound guidance in biliary interventions has become the standard tool to facilitate percutaneous biliary drainage as well as percutaneous gall bladder drainage. Monitoring of the needle tip whilst penetrating the tissue in real time using ultrasound allows precise manoeuvres and exact targeting without radiation exposure. Without the need for fluoroscopy, ultrasound-guided drainage procedures can be performed bedside as a sometimes life-saving procedure in patients with severe cholangitis/cholecystitis when they are critically ill in intensive care units and cannot be transported to a fluoroscopy suite. This article describes the current data background and guidelines and focuses on specific sonographic aspects of both the procedures of percutaneous biliary drainage and gallbladder drainage.

Ultrasound-Guided Interventions in the Biliary System

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Comment je fais un drainage biliaire percutané

15 minutes pour comprendre les enjeux radiologiques autour de l’ischémie mésentérique aiguë

Les voies biliaires ne sont pas toujours dilatées en cas de sténose anastomotique après transplantation hépatique