EUS-Guided Antegrade Transhepatic Placement of a Self-Expandable Metal Stent in Hepatico-Jejunal Anastomosis

  • Everson L A Artifon University of São Paulo Medical School; Av. Dr. Enéas de Carvalho Aguiar, 255; Cerqueira César - 05403-000; São Paulo, SP; Brazil Phone: +55-11.3069.7579 Fax: +55-11.8175.3884
  • Adriana Vaz Safatle-Ribeiro
  • Flávio Coelho Ferreira
  • Luiz Poli-de-Figueiredo
  • Samir Rasslan
  • Francisco Carnevale
  • José Pinhata Otoch
  • Paulo Sakai
  • Michel Kahaleh
Keywords: Biliary Tract, Drainage, Endoscopy, Gastrointestinal, Endosonography, Jaundice, Obstructive



Context To demonstrate an EUS-guided biliary drainage in patient with gastrointestinal tract modified surgically. Case report An EUS guided access to the left intra hepatic duct, followed by an antegrade passage of a partially self-expandable metal stent that was removed by using an enteroscope, in one patient with hepatico-jejunal anastomosis. There were no early or delayed complications and the procedure was effective in relieving jaundice until the self-expandable metal stent was removed, 3 months later. A cholangiogram was obtained via enteroscopy, after removal of self-expandable metal stent, and found to be normal. The patient had an uneventful evaluation afterwards. Conclusion The indication of these procedures must be made under a multidisciplinary view while sharing information with the patient or legal guardian. EUS-guided biliary drainage is feasible when performed by professionals with expertise in biliopancreatic endoscopy and advanced echo-endoscopy and should be performed currently under rigorous protocol in educational institutions.



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Enteroscope view demonstrating the hepatico-jejunal anastomosis and the intra-hepatic bile duct
How to Cite
ArtifonE., Safatle-RibeiroA., FerreiraF., Poli-de-FigueiredoL., RasslanS., CarnevaleF., OtochJ., SakaiP., & KahalehM. (2011). EUS-Guided Antegrade Transhepatic Placement of a Self-Expandable Metal Stent in Hepatico-Jejunal Anastomosis. JOP. Journal of the Pancreas, 12(6), 610-613.

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