Sustainable effectiveness of double duodenal and EUS-guided transmural biliary drainage in a patient with metastasis to biliopancreatoduodenal zone

M. D. Burdyukov, A. M. Nechipai, I. N. Yurichev, V. O. Panov
2020 Eksperimental'naia i klinicheskaia gastroenterologiia = Experimental & clinical gastroenterology  
Obstructive jaundice with duodenal obstruction are often encountered in patients with primary cancer or metastasis to bilipancreatoduodenal zone. Usually palliative surgery involving creation of gastroentero and liver-cholecysteneteroanas-tamosis is used. This palliative surgery carries a high risk of complications and death if performed at the height of jaundice. In this case endoscopic stenting of duodenum or EUS-guided transmural biliary drainage may be preferred method of treatment. At the
more » ... treatment. At the same time in the majority of patients performing of ERCP in cases of duodenum obstruction is not technically feasible. In this case EUS-guided transmural biliary drainage can be implemented. This clinical case demonstrates endoscopic treatment of a patient with pancreatoduodenal cancer complicated by duodenal obstruction and obstructive jaundice using endosonography and x-ray guided endoscopy.
doi:10.31146/1682-8658-ecg-177-5-108-112 fatcat:epzxr255mvdqdmllqrba3waoia