Endoscopic ultrasound-guided bilioduodenal anastomosis: a new technique for biliary drainage.

Abstract:

:Endoscopic biliary stenting is the most common method of treating obstructive jaundice. We present a new technique of biliary drainage using endoscopic ultrasound (EUS) and EUS-guided puncture of the common bile duct (CBD). A 56-year-old man with obstructive jaundice was referred for EUS and endoscopic retrograde cholangiopancreatography (ERCP) because a computed tomography (CT) scan had shown a pancreatic mass in the head of the pancreas and a dilated CBD. The patient was enrolled in a preoperative chemoradiotherapy protocol and biliary stenting was required. Deep cannulation was not obtained even after a precut and the procedure was stopped. Using a therapeutic EUS scope (FG 38X Pentax), the CBD was punctured with a 5-F needle-knife under EUS guidance and a cholangiogram was obtained. A 0.35-inch guide wire was introduced into the CBD. The EUS scope was removed and a duodenoscope was introduced, allowing the placement through the duodenum of a 10-F plastic stent. The CBD was drained properly. No complication occurred.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Giovannini M,Moutardier V,Pesenti C,Bories E,Lelong B,Delpero JR

doi

10.1055/s-2001-17324

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

898-900

issue

10

eissn

0013-726X

issn

1438-8812

journal_volume

33

pub_type

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