Endoscopy 2025; 57(S 02): S179
DOI: 10.1055/s-0045-1805446
Abstracts | ESGE Days 2025
Moderated poster
Let me in! Getting biliary access in altered anatomy 03/04/2025, 09:00 – 10:00 Poster Dome 1 (P0)

Take the Shortcut: Biliary Intervention in Altered Anatomy

S Bizarro-Ponte
1   Unidade Local de Saúde de Santo António, Porto, Portugal
,
A T Ferreira
1   Unidade Local de Saúde de Santo António, Porto, Portugal
,
F Craveiro
2   Unidade Local de Saúde de Matosinhos, Senhora da Hora, Portugal
,
J P Paulo
1   Unidade Local de Saúde de Santo António, Porto, Portugal
,
A Rei
1   Unidade Local de Saúde de Santo António, Porto, Portugal
,
I Pedroto
1   Unidade Local de Saúde de Santo António, Porto, Portugal
,
P Salgueiro
1   Unidade Local de Saúde de Santo António, Porto, Portugal
› Author Affiliations
› Further Information
Also available ateRef
 

Abstract Text An 84-year-old man with previous gastric surgery (Roux-en-Y reconstruction) was diagnosed with complicated choledocholithiasis. He underwent cholecystectomy with partial choledocholithiasis extraction and biliary T-tube placement. After failed endoscopic access to the papilla, percutaneous cholangioscopy was performed through T-tube tract, after guidewire insertion and 12-Fr sheath placement. A 2-cm biliary stone was fragmented via electrohydraulic lithotripsy. Anterograde sphincteroplasty was performed. The procedure was complicated by choleperitoneum, requiring laparoscopic lavage and subhepatic drain placement. The patient recovered well, with drain removal one week later and discharge after imaging showing a stone-free bile duct. In this case, despite complicated by biliary leakage, surgery was minimally invasive, without need of biliary re-intervention [1] [2].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/fc09e898-ac7a-4534-af53-be0116e90b75/Uploads/16849_Colangioscopia_percut%C3%A2nea.mp4



Publication History

Article published online:
27 March 2025

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

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  • References

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