Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis

被引：3

作者：

Sandru, Vasile ^{[1
]}

Ilie, Madalina ^{[1
]}

Plotogea, Oana ^{[1
]}

Ungureanu, Bogdan Silviu ^{[2
]}

Stoica, Adina ^{[1
]}

Gheonea, Dan Ionut ^{[2
]}

Constantinescu, Gabriel ^{[1
]}

机构：

[1] Clin Emergency Hosp, Dept Gastroenterol, Bucharest, Romania

[2] Univ Med & Pharm Craiova, Res Ctr Gastroenterol & Hepatol Craiova, Craiova, Romania

来源：

TURKISH JOURNAL OF GASTROENTEROLOGY | 2018年 / 29卷 / 04期

关键词：

Endoscopic ultrasound; choledochoduodenostomy; acute cholangitis; lumen apposing metal stent; OBSTRUCTION;

D O I：

10.5152/tjg.2018.18095

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We present the case of a 51-year-old woman with a history of uterine cancer who presented to the emergency room with a clinical picture of acute cholangitis. An abdominal ultrasound and a computed tomography scan were performed, revealing a gigantic lymphadenopathy mass compressing the common bile duct and the duodenum. After failure to perform an endoscopic retrograde cholangiopancreatography (ERCP) due to a modified anatomy, we performed an endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) and placed a Hot AMIOS 10Fr/10 mm stent with efficient biliary drainage. In addition, we inserted a duodenal uncoated 120/22 mm expandable metallic stent. EUS-CDS presents a valid alternative in patients with failed ERCP and should be considered as an important option for rapid biliary decompression in patients with acute cholangitis.

引用

页码：511 / 514

页数：4

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