Endoscopy 2020; 52(S 01): S315
DOI: 10.1055/s-0040-1705015
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

EUS-GUIDED CHOLECYSTOGASTROSTOMY AS A PALIATIVE TREATMENT OF MALIGNANT BILIARY OBSTRUCTION

P Vitek
1   Hospital Frydek-Mistek, Beskydy Gastrocentre, Department of Internal Medicine, Frydek-Mistek, Czech Republic
2   Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
,
J Kuchar
1   Hospital Frydek-Mistek, Beskydy Gastrocentre, Department of Internal Medicine, Frydek-Mistek, Czech Republic
,
IM Kajzrlikova
1   Hospital Frydek-Mistek, Beskydy Gastrocentre, Department of Internal Medicine, Frydek-Mistek, Czech Republic
,
P Klvana
1   Hospital Frydek-Mistek, Beskydy Gastrocentre, Department of Internal Medicine, Frydek-Mistek, Czech Republic
,
H Hlavikova
3   Hospital Frydek-Mistek, Department of Surgery, Frydek-Mistek, Czech Republic
,
J Chalupa
1   Hospital Frydek-Mistek, Beskydy Gastrocentre, Department of Internal Medicine, Frydek-Mistek, Czech Republic
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 

73-year-old man with inoperable pancreatic cancer with two liver metastases was admited for obstructive jaundice and biliary dilation on abdominal CT. Retrograde drainage via ERCP failed due to duodenal stenosis even after baloon dilation. EUS-guided drainage was indicated. Anatomical situation was not suitable for hepaticogastrostomy or choledochoduodenostomy, therefore cholecystogastrostomy with LAMS (15 mm width, 10 mm lenght) was performed. Decrease of bilirubin level after procedure was very quick. Concurrent gastric outlet obstruction was treated with duodenal stent (23 mm width, 120 mm length). Paliative oncological treatment followed.