EUS-Guided Antegrade Transhepatic Placement of a Self-Expandable Metal Stent in Hepatico-Jejunal Anastomosis

摘要: Context To demonstrate an EUS-guided biliary drainage in patient with gastrointestinal tract modified surgically. Case report An EUS guided access to the left intra hepatic duct, followed by antegrade passage of a partially self-expandable metal stent that was removed using enteroscope, one hepatico-jejunal anastomosis. There were no early or delayed complications and procedure effective relieving jaundice until removed, 3 months later. A cholangiogram obtained via enteroscopy, after removal stent, found be normal. The had uneventful evaluation afterwards. Conclusion indication these procedures must made under multidisciplinary view while sharing information legal guardian. is feasible when performed professionals expertise biliopancreatic endoscopy advanced echo-endoscopy should currently rigorous protocol educational institutions.