Anterograde cholangioscopy through ultrasound-guided hepaticogastrsotomy (HGS) for large hepatolithiasis treatment

Abstract Text 83-year-old man with acute cholangitis. ERCP revealed large lithiasis in the left hepatic duct with non-complete inflammatory stenosis. Retrograde extraction failed even with cholangioscope due to angulation. EUS-guided HGS with antimigration FCSEMS it is performed for temporary drainage. 8 weeks later, an antegrade cholangiography revealed inflammatory stricture and spontaneous clearance of the hepatolithiasis, with just a few sludge. Stricture was crossed with cholangioscope and we explored common hepatic duct and the bile duct. Stricture was dilated with a balloon. Afterwards retrograde cholangioscope via the native papilla was possible. EUS-HG made it possible to drain and access the bile duct with an antegrade approach to solve the large lithiasis and to observe the stricture.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/39d031d0-8328-4939-9ba8-dd2331f7d08f/Uploads/16849_HG_para%20CDL%20gigante%20vESGE.mp4

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Artikel online veröffentlicht:
27. März 2025