Hepatogastrostomy by EUS for malignant afferent loop obstruction after duodenopancreatectomy

One of the most difficult biliary drainages is the recurrence and stenosis on afferent loop after surgery. We report an original case of hepaticogastrostomy (HGE) in a patient who had malignant stenosis of afferent loop after cephalic duodenopancreatectomy (CDP). After failure of the gastrointestina...

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Detalles Bibliográficos
Autores principales: Ratone, Jean-Philippe, Caillol, Fabrice, Bories, Erwan, Pesenti, Christian, Godat, Sebastien, Giovannini, Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4568639/
https://www.ncbi.nlm.nih.gov/pubmed/26374585
http://dx.doi.org/10.4103/2303-9027.163017
Descripción
Sumario:One of the most difficult biliary drainages is the recurrence and stenosis on afferent loop after surgery. We report an original case of hepaticogastrostomy (HGE) in a patient who had malignant stenosis of afferent loop after cephalic duodenopancreatectomy (CDP). After failure of the gastrointestinal stent, two metal self-expandable stents were placed by endoscopic ultrasound (EUS) after puncture of the dilated left hepatic duct. On clinical improvement and disappearance of jaundice, palliative chemotherapy was started.

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