Transduodenal Endosonography-Guided Biliary Drainage and Duodenal Stenting for Palliation of Malignant Obstructive Jaundice and Duodenal Obstruction

Fauze Maluf-Filho; Felipe Alves Retes; Carla Zanellato Neves; Cezar Fabiano Manabu Sato; Fabio Shiguehissa Kawaguti; Ricardo Jureidini; Ulysses Ribeiro Jr; Telesforo Bacchella

doi:10.6092/1590-8577/653

Fauze Maluf-Filho Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil
Felipe Alves Retes Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil
Carla Zanellato Neves Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil
Cezar Fabiano Manabu Sato Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil
Fabio Shiguehissa Kawaguti Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil
Ricardo Jureidini Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil
Ulysses Ribeiro Jr Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil
Telesforo Bacchella Cancer Institute of São Paulo University Medical School (ICESP). São Paulo, SP, Brazil

DOI: https://doi.org/10.6092/1590-8577/653

Keywords: Bile Ducts /ultrasonography, Drainage /adverse effects /methods, Duodenal Obstruction, Endosonography, Gastric Outlet Obstruction, Jaundice, Obstructive

Abstract

Context Endosonography-guided biliary drainage has been used over the last few years as a salvage procedure when endoscopic retrograde cholangiopancreatography fails. Malignant gastric outlet obstruction may also be present in these patients. We report the results of both procedures during the same session in patients with duodenal and biliary obstruction due to malignant disease. Methods A retrospective review from a prospective collected database. Results Technical success was achieved in all five patients; however, only three patients experienced relief of jaundice and gastric outlet obstruction. Conclusions Endosonography-guided biliary drainage and duodenal stenting in the same session is feasible. However, severe complications may limit the procedure. This is a challenging procedure and should be done by experts with special attention to patient’s selection.

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