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

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
2011 Journal of the Pancreas  
To demonstrate an EUS-guided biliary drainage in patient with gastrointestinal tract modified surgically. 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
more » ... onths 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. 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.
pmid:22072253 fatcat:3rlpl53yuzcerfb3yb5owv4x5i