EUS-guided jejunoduodenostomy: another option for the management of stenosis in hepaticojejunoanastomosis
Authors:
M. Stodola 1; K. Mareš 1; I. Pagáč 1; R. Pádr 2
Authors‘ workplace:
Gastroenterologické oddělení, Nemocnice Na Homolce, Praha
1; Klinika zobrazovacích metod 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Motol, Praha
2
Published in:
Rozhl. Chir., 2020, roč. 99, č. 8, s. 364-367.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2020.99.8.364–367
Overview
Our case report describes a patient with recurrent stenoses in both the right and left hepaticojejunoanastomoses due to an injury to the bile ducts during cholecystectomy several years ago. The anastomoses could not be reached endoscopically. EUS-guided hepaticogastrostomy would be a solution only for the left hepatic duct anastomosis. As the patient refused percutaneous transhepatic drainage (PTD) of both intrahepatic ducts and dilation of both anastomoses, endoscopic ultrasound-guided jejunoduodenostomy was performed using a lumen apposing metal stent (LAMS). This method provides repeated endoscopic access to the anastomoses of both hepatic ducts, allowing for their treatment.
Keywords:
cholecystectomy − bile duct injury − stenosis in hepaticojejunoanastomosis − lumen apposing metal stent − endoscopic ultrasound-guided jejunoduodenostomy
Sources
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Surgery Orthopaedics Trauma surgeryArticle was published in
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