EUS-NOVEL, DURABLE ENDOSCOPIC TREATMENT OF MUCINOUS BILIARY OBSTRUCTION FROM METASTATIC MUCINOUS COLON CANCER

NOVEL, DURABLE ENDOSCOPIC TREATMENT OF MUCINOUS BILIARY OBSTRUCTION FROM METASTATIC MUCINOUS COLON CANCER

Video Transcription

Video Summary

The transcript describes a case of a 58-year-old African American man with a history of colon cancer and liver metastasis. The patient presented with elevated liver enzymes and further investigations revealed common bile duct dilation and periportal lymph node enlargement. Biopsies confirmed biliary metastasis from colon cancer, leading to an endoscopic retrograde cholangiopancreatography (ERCP) procedure. A stent was placed to relieve the obstruction, but the patient later experienced jaundice and recurrence of elevated liver enzymes. Another ERCP was performed, revealing capillary biliary tumors in the common bile duct. Biopsies confirmed dysplasia in the biliary duct lining. A longer stent was placed, and an endoscopic ultrasound-guided chemical ablation was performed to reduce the invading mass. Follow-up imaging showed improvement, and the patient remained asymptomatic with normal liver enzymes 16 months later.<br />Note: The transcript does not provide credits.

Asset Subtitle

Video Plenary - Authors: Ryan S. Goldstein, Shaimaa Elzamly, Scott A. Larson, Nirav Thosani, Tomas DaVee

Keywords

colon cancer

liver metastasis

common bile duct dilation

periportal lymph node enlargement

endoscopic retrograde cholangiopancreatography