Korean J Gastrointest Endosc.  2009 Oct;39(4):252-256.

A Case of Endoscopic Ultrasound Guided Cholangiography with Antegrade Drainage

• Lee SR
• Lee JH
• Lee SY
• Kim HH
• Park JH
• Ryu SH
• Kim YS
• Moon JS

Abstract

An 84-year-old woman presented with obstructive jaundice due to unresectable gallbladder cancer with a left renal cell carcinoma. Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic biliary drainage (PTBD) were unsuccessful because of tumor obstruction of the duodenal bulb, right hepatic duct and distal common bile duct. Endoscopic ultrasound (EUS)-guided biliary drainage with a transgastric approach was performed. A guide-wire was passed through the biliary obstruction and was successfully advanced into the duodenum via the ampulla. The procedure was completed in an antegrade fashion. The obstructed biliary system was successfully decompressed by the insertion of a biliary covered metal stent through the malignant stricture. There were no complications related to the use of this procedure.

Keyword

Biliary; Drainage; EUS; Jaundice

MeSH Terms

Aged, 80 and over
Biliary Tract
Carcinoma, Renal Cell
Cholangiography
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct
Constriction, Pathologic
Drainage
Duodenum
Female
Gallbladder Neoplasms
Hepatic Duct, Common
Humans
Jaundice
Jaundice, Obstructive
Stents