EUS-guided antegrade transhepatic placement of a self-expandable metal stent in hepatico-jejunal anastomosis.

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.

• Authors: Everson L A Artifon, Adriana Vaz Safatle-Ribeiro, Flávio Coelho Ferreira, Luiz Poli-de-Figueiredo, Samir Rasslan, Francisco Carnevale, José Pinhata Otoch, Paulo Sakai, Michel Kahaleh
• Journal: JOP : Journal of the pancreas (JOP) Vol. 12 Issue 6 Pg. 610-3 (Nov 09 2011) ISSN: 1590-8577 [Electronic] Italy
• PMID: 22072253 (Publication Type: Case Reports, Journal Article)

Chemical References

• Metals

Topics

• Anastomosis, Roux-en-Y
• Biliary Tract Surgical Procedures (methods)
• Female
• Humans
• Jejunostomy
• Jejunum (surgery)
• Liver (surgery)
• Metals
• Middle Aged
• Stents
• Tissue Expansion Devices
• Ultrasonography, Interventional (methods)