Endoscopy 2020; 52(S 01): S95
DOI: 10.1055/s-0040-1704288
ESGE Days 2020 oral presentations
Friday, April 24, 2020 11:00 – 13:00 Pancreatic solid tumors Liffey Meeting Room 1
© Georg Thieme Verlag KG Stuttgart · New York

EUS-DIRECTED TRANSGASTROJEJUNAL ERCP: A NEW TYPE OF EDGE TECHNIQUE TO TREAT BILIARY STRICTURE AFTER WHIPPLE SURGERY THROUGH THE AFFERENT LIMB

M Gasmi
1   Hôpital Nord, Marseille, France
,
JM Gonzalez
1   Hôpital Nord, Marseille, France
,
M Barthet
1   Hôpital Nord, Marseille, France
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    EUS-directed transgastric ERCP is a well-known technique to access to excluded stomach after Roux-en-Y-bypass through gastro-gastrostomy or jejunogastrostomy. We described here a new approach for ERCP by performing a EUS-guided gastrojejunostomy of the afferent limb in a patient with previous Wipple procedure (EUS-GJ), referred with jaundice and pruritus.

    Management with EUS-guided hepaticogastrostomy was not possible. We decided to access to the afferent limb of the surgical hepatico-jejunostomy, by performing a EUS-guided gastrojejunostomy (Video step 1), then accessing to the choledoco-jejunal surgical anastomosis (Video step2).

    EDGJE with EUS-GJ is another modality to treat biliary stricture in patients with altered anatomy.


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