Sustainable effectiveness of double duodenal and EUS-guided transmural biliary drainage in a patient with metastasis to biliopancreatoduodenal zone
https://doi.org/10.31146/1682-8658-ecg-177-5-108-112
Abstract
Obstructive jaundice with duodenal obstruction are often encountered in patients with primary cancer or metastasis to bilipancreatoduodenal zone. Usually palliative surgery involving creation of gastroentero and liver-cholecysteneteroanas-tamosis is used. This palliative surgery carries a high risk of complications and death if performed at the height of jaundice. In this case endoscopic stenting of duodenum or EUS-guided transmural biliary drainage may be preferred method of treatment. At the same time in the majority of patients performing of ERCP in cases of duodenum obstruction is not technically feasible. In this case EUS-guided transmural biliary drainage can be implemented. This clinical case demonstrates endoscopic treatment of a patient with pancreatoduodenal cancer complicated by duodenal obstruction and obstructive jaundice using endosonography and x-ray guided endoscopy.
About the Authors
M. D. Burdyukov
Russian Medical Academy of Continuous Professional Education; Center for Innovative Medical Technologies; Botkin Hospital
Russian Federation
Russian Federation
Mikhail S. Burdyukov, MD, PhD, associate Professor of the Department of endoscopy
Moscow
A. M. Nechipai
N. N. Blokhin National Medical Research Center of Oncology
Russian Federation
Russian Federation
Andrei M. Nechipai, endoscopist
Moscow
I. N. Yurichev
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Ilya N. Yurichev, endoscopist
Moscow
V. O. Panov
N. N. Blokhin National Medical Research Center of Oncology
Russian Federation
Russian Federation
Vadim O. Panov, endoscopist
Moscow
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Review
For citations:
Burdyukov M.D., Nechipai A.M., Yurichev I.N., Panov V.O. Sustainable effectiveness of double duodenal and EUS-guided transmural biliary drainage in a patient with metastasis to biliopancreatoduodenal zone. Experimental and Clinical Gastroenterology. 2020;174(5):108-112. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-177-5-108-112
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