Endoscopic Ultrasound–Directed Transgastric Endoscopic Retrograde Cholangiopancreatography for Removal of Cystic Duct Coils: A Novel Application of an Emerging Technique
| Autor: | Vikas Kumar, Joshua C. Obuch, Duane E. Deivert, Swetha Parvataneni, Harshit S. Khara, Yakub I. Khan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Endoscopic ultrasound
medicine.medical_specialty Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Bile duct business.industry medicine.medical_treatment Biliary nutritional and metabolic diseases Case Report General Medicine Gallstones medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Gallbladder surgery 030220 oncology & carcinogenesis medicine Cystic duct 030211 gastroenterology & hepatology Radiology Embolization business Bile leak |
| Zdroj: | ACG Case Reports Journal |
| ISSN: | 2326-3253 |
| Popis: | The altered anatomy of patients after Roux-en-Y gastric bypass (RYGB) surgery creates technical challenges for endoscopic and surgical treatment of gallstones. We present a unique case of a post-RYGB patient with complicated gallbladder surgery requiring coiling and embolization of the cystic duct for bile leak. The cystic duct coils migrated out into the bile duct forming a nidus for infection and biliary obstruction, which was resolved using the novel endoscopic ultrasound–directed transgastric routine endoscopic retrograde cholangiopancreatography technique, with successful transpapillary removal of cystic duct coils in RYGB anatomy. |
| Databáze: | OpenAIRE |
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