alexa Abstract | EUS-Guided Antegrade Transhepatic Placement of a Self-Expandable Metal Stent in Hepatico-Jejunal Anastomosis

JOP. Journal of the Pancreas
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Abstract

Context To demonstrate an EUS-guided biliary drainage in patient with gastrointestinal tract modified surgically. Case report An EUS guided access to the left intra hepatic duct, followed by an antegrade passage of a partially self-expandable metal stent that was removed by using an enteroscope, in one patient with hepatico-jejunal anastomosis. There were no early or delayed complications and the procedure was effective in relieving jaundice until the self-expandable metal stent was removed, 3 months later. A cholangiogram was obtained via enteroscopy, after removal of self-expandable metal stent, and found to be normal. The patient had an uneventful evaluation afterwards. Conclusion The indication of these procedures must be made under a multidisciplinary view while sharing information with the patient or legal guardian. EUS-guided biliary drainage is feasible when performed by professionals with expertise in biliopancreatic endoscopy and advanced echo-endoscopy and should be performed currently under rigorous protocol in educational institutions.

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Author(s): Everson LA Artifon Adriana Vaz SafatleRibeiro Fvio Coelho Ferreira Luiz PolideFigueiredo Samir Rasslan Francisco Carnevale Jos Pinhata Otoch Paulo Sakai Michel Kahaleh

Keywords

Biliary Tract, Drainage, Endoscopy, Gastrointestinal, Endosonography, Jaundice, Obstructive

 
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