Endoscopy 2020; 52(S 01): S311-S312
DOI: 10.1055/s-0040-1705001
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC DUAL BILIARY DRAINAGE FOR UNRESECTABLE MALIGNANT HILAR BILIARY STRICTURES (WITH VIDEO)

T Koshitani
1   Kobe Central Hospital, Kobe, Japan
,
Y Konaka
1   Kobe Central Hospital, Kobe, Japan
,
T Ohishi
1   Kobe Central Hospital, Kobe, Japan
,
T Yasuda
1   Kobe Central Hospital, Kobe, Japan
,
T Morinushi
1   Kobe Central Hospital, Kobe, Japan
,
A Katsura
1   Kobe Central Hospital, Kobe, Japan
,
M Mita
1   Kobe Central Hospital, Kobe, Japan
,
S Nakagawa
1   Kobe Central Hospital, Kobe, Japan
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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EUS-guided hepatogastrostomy (EUS-HGS) is an emerging technique of biliary decompression. We evaluated the efficacy of endoscopic dual biliary drainage using a combination of right-sided transpapillary stenting and left-sided EUS-HGS for unresectable malignant hilar biliary strictures (UMHBS). Three patients with high-grade UMHBS underwent endoscopic dual biliary drainage. Technical and clinical success rates were 3/3. Stent revisions were successfully performed via HGS route in all cases. The mean follow-up period was 180 days and stent patency was sustained in all the period with stent revision. Endoscopic dual biliary drainage may provide a possible chance of longer stent patency and easier stent revision.