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Endoscopy 2020; 52(S 01): S315
DOI: 10.1055/s-0040-1705015
DOI: 10.1055/s-0040-1705015
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
EUS-GUIDED CHOLECYSTOGASTROSTOMY AS A PALIATIVE TREATMENT OF MALIGNANT BILIARY OBSTRUCTION
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Publikationsverlauf
Publikationsdatum:
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.