ERCP-SIMULTANEOUS EUS GUIDED BILATERAL STENT PLACEMENT FOR MALIGNANT HILAR OBSTRUCTION POST-WHIPPLE RESECTION USING AN ANTEGRADE AND RENDEZVOUS APPROACH

SIMULTANEOUS EUS GUIDED BILATERAL STENT PLACEMENT FOR MALIGNANT HILAR OBSTRUCTION POST-WHIPPLE RESECTION USING AN ANTEGRADE AND RENDEZVOUS APPROACH

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Video Transcription

Video Summary

The video summarizes the case of a 66-year-old male patient with a history of pancreatic adenocarcinoma and liver metastases. The patient had previously undergone surgery and chemotherapy but developed biliary obstruction. Various options for drainage were discussed, and the patient opted for endoscopic retrograde drainage with EUS-guided drainage as a backup. The video then details the procedure, which involved accessing and dilating the left hepatic duct and placing a stent. Cannulation of the right hepatic duct through the stent was unsuccessful, so an EUS-guided rendezvous was performed to drain the right hepatic duct. Both ducts were successfully drained, and the patient had improved bilirubin levels after the procedure.<br />Credits: No credits mentioned in the transcript.

Asset Subtitle

Video Plenary - Authors: Abdul Kouanda, Mustafa A. Arain

Keywords

pancreatic adenocarcinoma

liver metastases

biliary obstruction

endoscopic retrograde drainage

EUS-guided drainage