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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 166-168

Endoscopic ultrasonography-guided antegrade stenting in surgically altered anatomy: Case report and review of literature


Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Akash Shukla
Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, Maharastra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ghep.ghep_16_22

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Endoscopic ultrasonography-guided biliary drainage (EUS-BD) remains an alternative to Endoscopic retrograde cholangiopancreatography (ERCP) for malignant extrahepatic biliary obstruction. Biliary drainage in altered surgical anatomy remains a challenge to endoscopists. Enteroscopy-assisted ERCP (eERCP) has been utilised for biliary access in patients with altered surgical anatomy, but with suboptimal results. We report a case of 51-year-old male, a case of carcinoma stomach undergone distal D2 gastrectomy with gastrojejunostomy with distal biliary obstruction, who underwent EUS-BD antegrade approach with technical and clinical success, with a review of literature of EUS BD in altered surgical anatomy.


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