CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(12): E1395-E1397
DOI: 10.1055/a-0735-9254
Case report
Owner and Copyright © Georg Thieme Verlag KG 2018

Endoscopic ultrasound-guided choledochoduodenostomy with a lumen-apposing metal stent through an uncovered metal duodenal stent

Adrien Sportes
Hopital Avicenne, Department of Gastroenterology, Bobigny, France
,
Gheoghe Airinei
Hopital Avicenne, Department of Gastroenterology, Bobigny, France
,
Ralph Kamel
Hopital Avicenne, Department of Gastroenterology, Bobigny, France
,
Jean Jacques Raynaud
Hopital Avicenne, Department of Gastroenterology, Bobigny, France
,
Robert Benamouzig
Hopital Avicenne, Department of Gastroenterology, Bobigny, France
› Author Affiliations
Further Information

Publication History

submitted 28 March 2018

accepted after revision 30 May 2018

Publication Date:
23 November 2018 (online)

  

Abstract

Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) in patients with a preexisting duodenal stent is particularly challenging and has a low success rate. Endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) has been increasingly used as an alternative to percutaneous transhepatic biliary drainage after failed ERCP. EUS-guided choledochoduodenostomy (EUS-CD) and EUS-guided hepaticogastrostomy (EUS-HGS) have been reported to have similar efficacity. Recently, a novel dedicated fully-covered lumen-apposing metal stent (LAMS) has been developed for EUS-CD (Hot AXIOS; Boston Scientific, Massachusetts, United States). It seems that this new device decreases the morbidity of EUS-CD. We present a case in which EUS-CD with LAMS through an uncovered metal duodenal stent was used successfully.