Endoscopic ultrasound (EUS) guided choledocoduodenostomy in a patient with irresecable pancreas cancer and biliar obstruction using a luminal apposing metal stent (LAMS).
Biliary obstruction
Choledocoduodenostomy
Endoscopic ultrasound
Endoscopic ultrasound-guided biliary drainage
Luminal apposing stent (LAMS)
Pancreatic cancer
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
12
04
2020
revised:
04
07
2020
accepted:
06
07
2020
pubmed:
11
8
2020
medline:
11
8
2020
entrez:
11
8
2020
Statut:
ppublish
Résumé
The endoscopic retrograde cholangiopancreatography (ERCP) is the election treatment of biliary obstruction. EUS-guided biliary drainage (EUS-BD) has emerged as an alternative to PTBD with a high technical and clinical success rate, low risk of complications and a better quality of life for the patient. Case presentation we present the first case in Colombia of EUS-guided biliary drainage using luminal apposing metal stent (LAMS) in a patient with unresectable pancreatic adenocarcinoma with biliary obstruction in who ERCP was failed due to neoplastic invasion of the Vater papilla. Discussion Transhepatic biliary drainage has been the most common procedure for treatment of malignant biliary obstruction in cases which ERCP fails due to tumor infiltration of the duodenum or the Vater papilla. During the last decade the development of endoscopic ultrasound (EUS) has implied an alternative for biliary drainage in cases of failed ERCP, demonstrating advantages over Trans hepatic biliary drainage Conclusion Considering that EUS-CD is a safe procedure, with a high rate of technical and clinical success, low risk of complications.
Identifiants
pubmed: 32771936
pii: S2210-2612(20)30552-6
doi: 10.1016/j.ijscr.2020.07.041
pmc: PMC7415624
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
23-26Informations de copyright
Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
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