Dual Stenting: Eus Biliary Drainage And Duodenal Metal Stent

A 57 old-year-male, with no medical history, was admitted for acute cholangitis. The clinical examination noted jaundice and scratching lesions. CT-scan showed a pancreatic head mass with upstream dilation of the common bile duct and intrahepatic duct. Abdominal-MRI showed the same findings as CT-scan and an infiltration of the duodenal wall. During endoscopic drainage, duodenoscopy showed a gastric outlet obstruction with complete stenosis of the duodenum, since, transpapillary drainage was impossible. we chose to perform a dual stenting: echoendoscopic drainage through choledochoduodenal anastomosis with a fully covered self-expanding metal stent 80/8 mm and placement of duodenal metal stent 80/20mm.

Citation Borahma M, Jebari y, Lagdali N et al. eP422V DUAL STENTING: EUS BILIARY DRAINAGE AND DUODENAL METAL STENT. Endoscopy 2021; 53: S234.

Publication History

Article published online:
19 March 2021