Endoscopy 2024; 56(S 02): S156
DOI: 10.1055/s-0044-1783032
Abstracts | ESGE Days 2024
Moderated Poster
Thinking Outside the UGI Box – Endoscopic Innovations and Fresh Ideas 25/04/2024, 10:00 – 11:00 Science Arena: Stage 2

EUS-guided rendezvous in gastric bypass: a double-edged transgastric ERCP

M. Cobreros del Caz
1   Rio Hortega University Hospital, Valladolid, Spain
,
J. Ruiz Rodriguez
1   Rio Hortega University Hospital, Valladolid, Spain
,
M. De Benito Sanz
1   Rio Hortega University Hospital, Valladolid, Spain
,
R. Sánchez-Ocaña
1   Rio Hortega University Hospital, Valladolid, Spain
,
C. De La Serna Higuera
1   Rio Hortega University Hospital, Valladolid, Spain
,
M. Perez-Miranda
1   Rio Hortega University Hospital, Valladolid, Spain
› Institutsangaben
 

Abstract Text Introduction: EUS-directed trans-Gastric Intervention (EDGI) via LAMS into the excluded stomach has not yet been reported for biliary rendezvous.Case: Symptomatic CBD stone in Roux-en-Y gastric bypass female. A 20x10 mm LAMS is placed for single-session EDGE. Wire-guided cannulation of a small papilla fails. EUS-rendezvous is chosen instead of pre-cut in a high-risk patient with hostile papillary anatomy. Duodenoscope is exchanged for the echoendoscope. CBD is 19G-punctured and guidewire passed antegrade across the papilla. Sphincterotomy with a home-made mono-rail sphincterotome with the echoendoscope allows wireless scope exchange, for a final balloon sweep with the duodenoscope. Comment: In hostile duodenal anatomy, pre-cut may be avoided by rendezvous, even in EDGE.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/d03f04fa-bb8f-4179-9fe9-48d163024a65/Uploads/13821_001496.mov



Publikationsverlauf

Artikel online veröffentlicht:
15. April 2024

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