Bi-center bit and drilling tools with enhanced hydraulics

A drilling tool includes a pilot bit coupled to an eccentric reamer that has a reaming side and a stabilizing side. A fluid passageway extends between the reamer and the pilot bit, and the tool includes at least one upwardly-directed nozzle in fluid communication with the fluid passageway and positioned on the stabilizing side of the reamer. The reamer may include a plurality of angularly spaced blades on the reaming side that radially extend a first distance, the reamer blades being disposed within a first arcuate segment defined by the two most distant reamer blades. One or more stabilizing blades extend a second distance that is less than the first distance, the stabilization blades being disposed within a second arcuate segment defined by the two most distant reamer blades and that has the angular measure equal to 360 degrees minus the first arcuate segment.