Endoscopy 2025; 57(S 02): S570
DOI: 10.1055/s-0045-1806493
Abstracts | ESGE Days 2025
ePosters

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

Authors

  • G Aranda-Olaizola

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • A Martinez-Ortega

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • A J Velasco-Guardado

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • B E Andreo-Vidal

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • J X Segarra Ortega

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • L Tejerizo-García

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • R Gomez-Hidalgo

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • M Caballero-Hernandez

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • V Escribano De La Torre

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • M Garcia-Redero

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • B Jimenez-Hernandez

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • A Menendez-Ramos

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • R Dominguez-Gomez

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • F Geijo-Martinez

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

  • A Alvarez-Delgado

    1   Complejo Asistencial Universitario de Salamanca, Salamanca, Spain
Further Information
Also available at
 
 

    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


     

    Conflicts of Interest

    Authors do not have any conflict of interest to disclose.

    Publication History

    Article published online:
    27 March 2025

    © 2025. European Society of Gastrointestinal Endoscopy. All rights reserved.

    Georg Thieme Verlag KG
    Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany