Cholecystohepaticogastrostomy: novel endoscopic gallbladder drainage technique to prevent acute cholecystitis following endoscopic ultrasound-guided biliary drainage.
Journal
Endoscopy
Journal Volume
56
Journal Issue
S 01
Start Page
E1046
End Page
E1047
ISSN
1438-8812
Date Issued
2024-12
Author(s)
DOI
10.1055/a-2462-1962
Abstract
Cholecystohepaticogastrostomy: novel endoscopic gallbladder drainage technique to prevent acute cholecystitis following endoscopic ultrasound-guided biliary drainageFor malignant distal biliary obstruction (DBO), placing a stent in an antegrade manner across the obstruction and papilla, followed by endoscopic ultrasoundguided hepaticogastrostomy (EUS-HGS), establishes dual biliary drainage pathways and may prolong stent patency [1].However, acute cholecystitis can occur after biliary drainage with a fully covered self-expandable metal stent (FCSEMS) in cases of DBO [2].We present a novel endoscopic approach for gallbladder drainage via the HGS tract, offering a viable option for high-risk patients who develop acute cholecystitis following FCSEMS placement.A 72-year-old woman with advanced pancreatic adenocarcinoma presented with fever, chills, and hyperbilirubinemia.She had previously undergone EUS-guided gastrojejunostomy for gastric outlet obstruction and EUS-HGS for DBO 1 month prior.Imaging revealed dilated intrahepatic ducts and common bile duct, as
SDGs
Type
journal article