SciELO - Scientific Electronic Library Online

 
vol.25 número5Uma Causa Rara de Dor Abdominal num Doente com Pancreatite Aguda NecrotizanteVólvulo do Sigmóide em Idade Pediátrica: Um Desafio Clínico índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


GE-Portuguese Journal of Gastroenterology

versión impresa ISSN 2341-4545

Resumen

LIBANIO, Diogo et al. Endoscopic Ultrasound-Guided Biliary Drainage in Two Patients with Difficult Biliary Access. GE Port J Gastroenterol [online]. 2018, vol.25, n.5, pp.258-263. ISSN 2341-4545.  https://doi.org/10.1159/000485429.

Introduction: Endoscopic retrograde cholangiopancreatography is the method of choice for biliary drainage, although in some cases standard biliary access is difficult or even impossible. Endoscopic ultrasound (EUS)-guided endoluminal procedures are an alternative in these cases, although experience with these techniques is still limited. Clinical Case: We present two cases of successful EUS-guided biliary drainage. In the first case, a hepaticogastrostomy was performed in a patient with stage IV gastric adenocarcinoma with obstructive jaundice due to compression of the hilum, where malignant gastric stenosis and previous palliative gastrojejunostomy precluded access to the second part of the duodenum. In the second case, a patient with a pancreatic head adenocarcinoma with duodenal invasion that precluded major papillae identification was submitted to a choledochoduodenostomy. Both procedures occurred without immediate or delayed adverse events, with technical and clinical success. Discussion: Although experience with EUS-guided biliary drainage is still limited, its efficacy and safety is favourable when compared with percutaneous and surgical drainage, and should be considered an alternative to these techniques where sufficient expertise exists.

Palabras clave : Endoscopic retrograde cholangiopancreatography; Biliary drainage; Endoscopic ultrasonography; Palliative therapy; Gastrointestinal cancer.

        · resumen en Portugués     · texto en Inglés     · Inglés ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons