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 …

Continue reading Excavation of a fossilized biliary stent

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 …

Continue reading Biliary ascariasis: mimicker of biliary stent

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 …

Continue reading Novel SEMS for malignant hilar biliary obstruction

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. …

Continue reading Making EUS-guided biliary drainage safer

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 …

Continue reading Biliary stent for hemobilia caused by portal biliopathy

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 …

Continue reading EUS-guided hepatogastrostomy