ERCP-ENTEROSCOPY ASSISTED ERCP WITH NEEDLE KNIFE STRICTUROPLASTY OF HEPATICOJEJUNOSTOMY

ENTEROSCOPY ASSISTED ERCP WITH NEEDLE KNIFE STRICTUROPLASTY OF HEPATICOJEJUNOSTOMY

Video Transcription

Video Summary

This video transcript discusses the challenges posed by surgically-altered pancreaticobiliary anatomy in patients with long limb bypass and the management of biliary enteric anastomotic strictures. The case presented involves a 66-year-old female with a history of pancreatic cancer who had a Whipple procedure and presented with jaundice and pruritus. The patient underwent an enteroscopy-assisted ERCP with needle-knife stricturoplasty of the hepatical jejunostomy. A fully covered metal stent was placed across the stricture, resulting in the resolution of jaundice and pruritus. This procedure can be beneficial in providing biliary decompression in patients with surgically-altered pancreaticobiliary anatomy. Co-authors include Kaushik Das and Vladimir Kushner.

Asset Subtitle

Honorable Mention

Keywords

surgically-altered pancreaticobiliary anatomy

long limb bypass

biliary enteric anastomotic strictures

Whipple procedure

enteroscopy-assisted ERCP