EUS-Guided Hepaticogastrostomy

U Will
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Abstract

In patients with jaundice and unsuccessful biliary drainage with endoscopic retrograde cholangiopancreatography because of a situation after operation (gastrectomy, Roux-y hepaticogastrostomy (HG), Billroth-II operation), endoscopic ultrasound (EUS)-guided biliary drainage has been introduced as an alternative to percutaneous transhepatic cholangial drainage. Here is demonstrated an EUS-guided HG in a patient 1 year after Whipple operation with relapse of pancreatic cancer and with peritonal and hepatic metastases and intrahepatic cholestases. This article is part of an expert video encyclopedia.

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EUS-Guided Hepaticogastrostomy
黄疸患者术后(胃切除术、Roux-y肝胃造口术(HG)、Billroth-II手术)行内镜逆行胆管造影引流不成功,引入超声内镜(EUS)引导下胆管引流作为经皮经肝胆管引流的替代方法。eus引导下的HG发生于Whipple手术后1年,患者胰腺癌复发,伴有腹膜和肝脏转移及肝内胆汁淤积。这篇文章是专家视频百科全书的一部分。
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