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Endoscopic ultrasound‐guided choledochoantrostomy as an alternative extrahepatic bile duct drainage method in pancreatic cancer with duodenal invasion
Author(s) -
Itoi Takao,
Itokawa Fumihide,
Tsuchiya Takayoshi,
Tsuji Shujiro,
Tonozuka Ryosuke
Publication year - 2013
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12065
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , endoscopic ultrasound , biliary drainage , stent , bile duct , endoscopic ultrasonography , radiology , major duodenal papilla , drainage , common bile duct , endoscopy , gastroenterology , surgery , pancreatitis , ecology , biology
Recently, endoscopic ultrasonography‐guided bile duct drainage ( EUS‐BD ) has become popular as an alternative method of biliary drainage in cases of failed endoscopic retrograde cholangiopancreatography. In terms of EUS ‐guided extrahepatic bile duct drainage, recently, EUS ‐guided choledochoantrostomy has been reported as a variation of EUS‐BD . We describe a case of successful choledochoantrostomy using a fully covered self‐expandable metallic stent. We conclude that EUS ‐guided choledochoantrostomy should be one option for biliary decompression. Inparticular, if patients have duodenal strictures, with or without a duodenal metal stent, it seems to be an ideal alternative to choledochoduodenostomy.