EUS-AFFERENT LIMB SYNDROME, BILIOCUTANEOUS FISTULA, BILIOENTEROCUTANEOUS FISTULA, DEHISCENCE OF THE HEPATICOJEJUNOSTOMY; CAN WE TREAT ALL OF THIS ENDOSCOPICALLY?

AFFERENT LIMB SYNDROME, BILIOCUTANEOUS FISTULA, BILIOENTEROCUTANEOUS FISTULA, DEHISCENCE OF THE HEPATICOJEJUNOSTOMY; CAN WE TREAT ALL OF THIS ENDOSCOPICALLY?

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Video Transcription

Video Summary

In this video, a 53-year-old female with a history of multiple surgical procedures is presented. The patient had recurrent cholangitis and leakage around a long-standing percutaneous biliary drain. The underlying cause was suspected to be afferent limb syndrome. Several procedures were performed to treat the condition, including balloon dilation, stent placement, and tract dilation. Despite these treatments, the biliocutaneous fistula persisted. Ultimately, cholangioscopy, ablation of the fistula tract, and nasobiliary drainage were used to successfully close the fistula. The video highlights the importance of understanding the underlying anatomical problem and employing various techniques to treat complex biliary complications endoscopically in non-surgical patients.

Asset Subtitle

Honorable Mention

Keywords

53-year-old female

multiple surgical procedures

recurrent cholangitis

percutaneous biliary drain

afferent limb syndrome