The Saudi Journal of Gastroenterology (Jan 2016)

Endoscopic ultrasound-guided antegrade stenting in an occluded biliary self-expandable metal stent

  • Majid A Almadi,
  • Mohanned Eltayeb,
  • Salem Thaniah

DOI
https://doi.org/10.4103/1319-3767.187597
Journal volume & issue
Vol. 22, no. 4
pp. 337 – 340

Abstract

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Endoscopic ultrasound-guided biliary drainage (EUS-BD) is an attractive option for patients who cannot undergo conventional endoscopic retrograde cholangiopancreatography (ERCP) and do not want surgery or percutaneous drainage procedures. We present the use of EUS-antegrade (EUS-AG) insertion of a self-expandable metal stent (SEMS) in a patient with a common hepatic duct cholangiocarcinoma, as well as a huge gastric lipoma, after recurrent biliary obstruction of a prior SEMS inserted via ERCP in the same session as a duodenal stent insertion for gastric outlet obstruction.

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