EUS-GUIDED HEPATOGASTROSTOMY FOR AFFERENT LOOP SYNDROME

A 61 old-year-male, with a medical history of Whipple surgery for pancreatic head adenocarcinoma nine months ago, was admitted for acute cholangitis. The clinical examination noted cholestatic jaundice and scratching lesions. CT scan showed a malignant relapse on the afferent loop with dilation of this afferent loop and upstream dilation of the common bile duct and intrahepatic duct. we performed an endoscopic ultrasound-guided hepatogastrostomy for this afferent loop syndrome

with the deployment of fully covered SEMS 80/8 mm with good drainage.

Publication History

Article published online:
14 April 2022