Other-RECANALIZATION OF COMPLETE STENOSIS OF BILIODIGESTIVE ANASTOMOSIS BY COMBINED ENDOSCOPY AND INTERVENTIONAL RADIOLOGY APPROACH

RECANALIZATION OF COMPLETE STENOSIS OF BILIODIGESTIVE ANASTOMOSIS BY COMBINED ENDOSCOPY AND INTERVENTIONAL RADIOLOGY APPROACH

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Video Transcription

Video Summary

In this video, a 74-year-old woman with pancreatic adenocarcinoma underwent a gastrointestinal tumor presentation and developed complete stenosis of a hepatogenic anastomosis two years after surgery. The video shows the use of a pediatric colonoscopy to access the stenosis and a transparietal approach to access the bile tract. The stenosis was located in the liver duct bifurcation and was treated by puncturing the anastomosis and inserting a fully covered metal stent. Radiologic images confirmed the correct positioning of the stent, which resulted in good bile drainage. The stent was removed after 8 weeks, and a balloon dilatation was performed on the anastomosis. The procedure was successful with no complications.

Asset Subtitle

Honorable Mention

Keywords

pancreatic adenocarcinoma

stenosis

metal stent

bile drainage

balloon dilatation