Single-Session Eus-Guided Duodenojejunostomy And Through-The-Lams ERCP Combined With Eus-Guided Gallbladder DrainagE (EUS-GBD) in ROUX-EN-Y GASTRECTOMY

An 88-yo subtotal gastrectomy female experienced cholecystitis with CBD stones. ERCP failed and lack of intrahepatic dilatation prevented antegrade EUS-guided stone removal. EUS-guided transportal-cholangiography with 22G-needle confirmed CBD stones. Contrast outflow into the duodenum facilitated afferent limb location and free-hand placement of a duodenojejunal cautery-enhanced 20-mm lumen-apposing metal stent (LAMS). Using a duodenoscope, a through-the-LAMS ERCP with CBD stone removal was performed. Lastly, echoendoscope passage through-the-LAMS allowed retrograde access to the duodenal bulb and free-hand insertion of a 10-mm LAMS for cholecystoduodenostomy. EUS-guided transportal-cholangiography with transenteric LAMS allow combined ERCP and EUS-GBD in a single-session in nonoperative Roux-en-Y gastrectomy patients.

Citation: Fuentes-Valenzuela E, Sánchez-Ocaña R, Chavarría C et al. OP230V SINGLE-SESSION EUS-GUIDED DUODENOJEJUNOSTOMY AND THROUGH-THE-LAMS ERCP COMBINED WITH EUS-GUIDED GALLBLADDER DRAINAGE (EUS-GBD) IN ROUX-EN-Y GASTRECTOMY. Endoscopy 2021; 53: S94.

Publication History

Article published online:
19 March 2021