EUS-GUIDED MANAGEMENT OF POST-SURGICAL INJURY USING LAMS IN PATIENTS WITH BILIARY TRACT STRICTURES

Lumen-apposing metal stents (LAMS) are a newly available therapeutic alternative for therapy in post-surgical biliary tract strictures. Two young adult females presented with post-surgical biliary tract stricture injury. Only the first case required intraoperative hepaticojejunostomy. Both developed a cholestatic pattern. We performed an EUS-guided antegrade drainage using LAMS with no reported periprocedural complications. The total and direct bilirubin levels had exponentially decreased. Currently, the patients remain stable. When feasible, EUS-guided management of post-surgical injury using LAMS may be a novel, safe, and effective alternative for patients with iatrogenic biliary tract strictures.

Publication History

Article published online:
14 April 2022