Artifon Everson L A, Safatle-Ribeiro Adriana Vaz, Ferreira Flávio Coelho, Poli-de-Figueiredo Luiz, Rasslan Samir, Carnevale Francisco, Otoch José Pinhata, Sakai Paulo, Kahaleh Michel
University of São Paulo, São Paulo, SP, Brazil.
JOP. 2011 Nov 9;12(6):610-3.
To demonstrate an EUS-guided biliary drainage in patient with gastrointestinal tract modified surgically.
An EUS guided access to the left intra hepatic duct, followed by an antegrade passage of a partially self-expandable metal stent that was removed by using an enteroscope, in one patient with hepatico-jejunal anastomosis. There were no early or delayed complications and the procedure was effective in relieving jaundice until the self-expandable metal stent was removed, 3 months later. A cholangiogram was obtained via enteroscopy, after removal of self-expandable metal stent, and found to be normal. The patient had an uneventful evaluation afterwards.
The indication of these procedures must be made under a multidisciplinary view while sharing information with the patient or legal guardian. EUS-guided biliary drainage is feasible when performed by professionals with expertise in biliopancreatic endoscopy and advanced echo-endoscopy and should be performed currently under rigorous protocol in educational institutions.
