Post written by Abdulrahman Qatomah, MBBS, FRCPC, from Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. A 65-year-old woman with a history of Roux-en-Y gastric bypass presented with cholangitis secondary to a benign biliary stricture. She previously underwent placement of a percutaneously …
Tag: biliary stent
Effective modified pancreatic stent placement for repeated acute obstructive suppurative pancreatic ductitis
Post written by Koichi Soga, MD, PhD, from the Department of Gastroenterology, Dokkyo Medical University Saitama Medical Center, Saitama, and the Department of Gastroenterology, Omihachiman Community Medical Center, Shiga, Japan. Endoscopic transpapillary biliary stents (EBSs) are offered in a variety of types, including endoscopic plastic and metal stents, with a variety of techniques for placement. As …
Cognitive ERCP: decision making during successful retrieval of proximally migrated biliary stent
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 56-year-old man presented with painless jaundice. A CT scan reported a pancreatic mass, and he underwent ERCP at an outside facility with the placement of a plastic biliary stent through distal biliary stricture and EUS-guided biopsy of …
Jailbreaking a metal biliary stent through a duodenal stent
Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. In our video manuscript, we describe a case of recurrent malignant biliary and duodenal obstruction that was caused by tumor ingrowth after prior coaxial biliary and metal stenting. The tumor ingrowth was treated with …
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Excavation of a fossilized biliary stent
Post written by Brian S. Lim, MD, MCR, FASGE, from the School of Medicine, University of California, and the Department of Gastroenterology, Kaiser Permanente Riverside Medical Center, Riverside, California, USA. A 60-year-old male presented with right lower-quadrant pain and fever. CT (computed tomography) abdomen showed acute appendicitis, but also an incidental biliary stent. The atient …
Biliary ascariasis: mimicker of biliary stent
Post written by Malay Sharma from the Jaswant Rai Speciality Hospital. We present a case of acute cholangitis due to biliary ascariasis mimicking biliary stent on ultrasonography. Biliary ascariasis is not commonly seen in western countries, hence the reason for showcasing this video. A 50-year-old-man presented with acute cholangitis. He underwent multiple ERCP procedures with …
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Novel SEMS for malignant hilar biliary obstruction
Tadahisa Inoue, MD, from the Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, in Gifu, Japan, describes this New Methods article "Feasibility of the placement of a novel 6-mm diameter threaded fully covered self-expandable metal stent for malignant hilar biliary obstructions (with videos)." The focus of this study was to evaluate the safety and efficacy of …
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Making EUS-guided biliary drainage safer
Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this video case "EUS-guided biliary drainage made safer by a combination of hepaticogastrostomy and antegrade transpapillary stenting." A 61-year-old male presented with malignant biliary obstruction secondary to locally advanced pancreatic adenocarcinoma. …
Biliary stent for hemobilia caused by portal biliopathy
Mahesh Kumar Goenka, MD, DM, FACG, FASGE from the Institute of Gastroenterology, Department of Interventional Radiology at Apollo Gleneagles Hospitals in Kolkata, India shares this VideoGIE case "Fully covered self-expandable metal biliary stent for hemobilia caused by portal biliopathy." Overt bleeding from an ampulla after plastic biliary stent removal in portal biliopathy is a life …
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EUS-guided hepatogastrostomy
Vishal Ghevariya, MD from the Icahn School of Medicine at Mount Sinai in New York shares this video case titled "EUS-guided hepatogastrostomy with double stenting." Minimally invasive biliary drainage techniques have recently gained popularity among interventional endoscopy services. We present the technique of hepatogastrostomy creation for malignant biliary obstruction in a 54-year-old man with biliary stricture …
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