ASGE DDW Videos from Around the World | 2023-EUS-DIRECTED ENTEROENTEROSTOMY ERCP (EDEE) FOR THE MANAGEMENT OF RECURRENT CHOLANGITIS

EUS-DIRECTED ENTEROENTEROSTOMY ERCP (EDEE) FOR THE MANAGEMENT OF RECURRENT CHOLANGITIS

Video Transcription

Video Summary

The video discusses a case study of a 41-year-old female with recurrent cholangitis who underwent EUS-directed enteroenterostomy ERCP. The patient had altered anatomy due to a previous cholecystectomy and required a Roux-en-Y choledochodegenostomy. CT imaging showed signs of cholangitis and a loop of bowel in the right upper quadrant. The patient was initially considered for percutaneous transhepatic cholangiography but opted for internal endoscopic management. EUS-guided direct puncture from the proximal GI tract with afferent limb infusion was performed using a lumen-opposing metal stent. The patient improved with antibiotics and was discharged, with plans for repeat ERCP in the future. The case study demonstrates the potential of EUS-directed enteroenterostomy ERCP as an effective endoscopic option for patients with altered anatomy.

Asset Subtitle

Honorable Mention

Keywords

cholangitis

EUS-directed enteroenterostomy ERCP

altered anatomy

Roux-en-Y choledochodegenostomy

EUS-guided direct puncture