ASGE DDW Videos from Around the World | 2022-EDEE-ASSISTED INTERNALIZATION OF A PERCUTANEOUS BILIARY DRAIN IN ROUX-EN-Y HEPATICOJEJUNOSTOMY ANATOMY

EDEE-ASSISTED INTERNALIZATION OF A PERCUTANEOUS BILIARY DRAIN IN ROUX-EN-Y HEPATICOJEJUNOSTOMY ANATOMY

Video Transcription

Video Summary

The video discusses a case study where a novel procedure called EUS-directed transenteric ERCP (Endoscopic Retrograde Cholangiopancreatography) is used to facilitate biliary access and intervention in patients with Roux-en-Y anatomy. The procedure involves creating a lumen-opposing metal stent from the stomach or duodenum to the afferent jejunal limb, allowing therapeutic endoscopy to access the biliary system. The case involves a patient with biliary atresia who underwent liver transplantation and developed cholangitis. A percutaneous biliary drain was initially placed, followed by staged internalization using the EUS-directed approach. The video highlights the technical details of the procedure and its success in achieving biliary access.

Keywords

EUS-directed transenteric ERCP

biliary access

Roux-en-Y anatomy

lumen-opposing metal stent

biliary system