EUS-CDS presents a valid alternative in patients with failed ERCP and should be considered asan important option for rapid biliary decompression in patients with acute cholangitis.
📌 3 Key Takeaways
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Objective & Hypothesis:We present the case of a 51-year-old woman with a history of uterine cancer who presented to the emergency room with a clinicalpicture of acute cholangitis.
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Key Findings & Data: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 AXIOS 10Fr/10 mm stent with efficient biliary drainage.
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Conclusion & Impact:EUS-CDS presents a valid alternative in patients with failed ERCP and should be considered asan important option for rapid biliary decompression in patients with acute cholangitis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Özet
We present the case of a 51-year-old woman with a history of uterine cancer who presented to the emergency room with a clinicalpicture 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 AXIOS 10Fr/10 mm stent with efficient biliary drainage. In addition, we inserted a duodenal uncoated120/22 mm expandable metallic stent. EUS-CDS presents a valid alternative in patients with failed ERCP and should be considered asan important option for rapid biliary decompression in patients with acute cholangitis.
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Cite This Article
SANDRU, V., ILIE, M., PLOTOGEA, O., UNGUREANU, B. S., STOICA, A., GHEONEA, D. I. (2018). Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis. Turkish Journal of Gastroenterology, Cilt: 29 - Sayı: 4, 511–514. https://ajindex.com/articles/410124
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