Comparison of endoscopic bilateral stent-in-stent vs stent-by-stent deployment

Post written by Tae Hoon Lee, MD, PhD, and Jong Ho Moon, MD, PhD, from the Department of Internal Medicine, SoonChunHyang University College of Medicine, Cheonan, Republic of Korea. Although the efficacy of palliative bilateral biliary drainage using self-expandable metal stents (SEMS) has been demonstrated, it is unclear which bilateral deployment method using SEMS is …

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Endoclip papilloplasty for a patulous and incompetent biliary papilla

Post written by Yonghui Huang, MD, from the Department of Gastroenterology, Peking University International Hospital & Peking University Third Hospital, Beijing, China. An innovative endoscopic strategy was demonstrated for preserving the function of Oddi sphincter after large endoscopic sphincterotomy (EST) in a patient with a large stone of the CBD. After successful extraction of CBD …

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Recalcitrant embedded biliary self-expanding metal stents

Post written by Marc Bernon, MB, ChB, FCS, from the Surgical Gastroenterology Unit, Division of General Surgery, University of Cape Town Health Sciences Faculty and Groote Schuur Hospital, Cape Town, South Africa. Endoscopic placement of self-expanding metal stents (SEMS) is the palliative treatment of choice for obstructive jaundice due to malignant biliary obstruction. However, a …

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Crossing the minefield: EUS-guided transesophageal biliary rendezvous

Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, Hyderabad, India. An elderly male presented with obstructive jaundice due to malignant distal biliary obstruction related to pancreatic head mass. There was associated portal vein thrombosis causing portal cavernoma and large esophago-gastric varices along with ascites. Repeated attempts to drain the obstructed …

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Early precut fistulotomy for biliary access

Luís Lopes, MD from Hospital de Santa Luzia in Viana do Castelo, Portugal discusses his Original Article "Early precut fistulotomy for biliary access: time to change the paradigm of 'the later, the better'?" from the October issue. We assessed the efficacy and safety of 2 alternative strategies in the setting of a difficult biliary cannulation: …

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