ASGE DDW Videos from Around the World | 2024-EUS-GUIDED HEPATICOGASTROSTOMY AND ANTEGRADE CHOLANGIOSCOPY: A NOVEL APPROACH IN DIAGNOSIS AND TREATMENT OF BILIARY OBSTRUCTION IN PATIENTS WITH SURGICALLY ALTERED ANATOMY

EUS-GUIDED HEPATICOGASTROSTOMY AND ANTEGRADE CHOLANGIOSCOPY: A NOVEL APPROACH IN DIAGNOSIS AND TREATMENT OF BILIARY OBSTRUCTION IN PATIENTS WITH SURGICALLY ALTERED ANATOMY

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Video Transcription

Video Summary

ESU-guided hepatogastrostomy and antegrade cholangioscopy present a innovative approach in managing biliary obstruction in patients with surgically altered anatomy. Conventional methods like enteroscopy-assisted ERCP and percutaneous biliary drainage pose challenges due to limited access and tools. A case study featuring a 58-year-old male with cholangiocarcinoma history showcased successful treatment using ESU-guided biliary access and stent placement. Follow-up cholangioscopy allowed for biopsy confirmation and additional stent placement. The technique expands the role of hepatogastrostomy, offering a minimally invasive and effective option for treating biliary strictures in such patients.

Asset Subtitle

Chima Amadi

Keywords

ESU-guided hepatogastrostomy

antegrade cholangioscopy

biliary obstruction

surgically altered anatomy

cholangiocarcinoma