Cholangioscopy-guided double-guidewire technique for complex malignant hilar obstruction

Post written by Margaret G. Keane, MBBS, MSc, from the Department of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. A 77-year-old man presented to our institution with jaundice, right upper quadrant pain, loss of appetite, and weight loss. Blood tests confirmed a raised Bilirubin (8.6 mg/dl), abnormal LFTs (Alkaline phosphatase 320 IU/L, AST …

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Immune-mediated cholangiopathy

Shyam Menon, MD, MRCP, MRCP(Gastro), PGDip(Epid), PGDip(Nutr Med) and colleagues present this video case from the VideoGIE section, "Immune-mediated cholangiopathy." This video case describes the clinical journey of a patient who presented with weight loss, jaundice, and a biliary stricture at the liver hilum. Cholangioscopy was performed with intent to evaluate this stricture and acquire …

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