Open AccessHepatogastrostomy by EUS for malignant afferent loop obstruction after duodenopancreatectomy
Author(s) -
JeanPhilippe Ratone,
Fabrice Caillol,
Erwan Bories,
Christian Pesenti,
Sébastien Godat,
Marc Giovannini
Publication year - 2015
Publication title -
endoscopic ultrasound (online)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.883
H-Index - 24
eISSN - 2303-9027
pISSN - 2226-7190
DOI - 10.4103/2303-9027.163017
Subject(s) - medicine , jaundice , stenosis , stent , afferent , endoscopic ultrasound , bile duct , sphincter of oddi , radiology , surgery
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.