Endoscopy 2021; 53(S 01): S25
DOI: 10.1055/s-0041-1724318
Abstracts | ESGE Days
ESGE Days 2021 Oral presentations
Thursday, 25 March 2021 17:00 – 17:45 EUS-guided biliary drainage: From theory to practice Room 5

EUS-Cholecystogastrostomy Followed by Cholangioscopy with Spyglass Through the Lumen Of The Lams Stent and Lithotripsy of Gallbladder Stones

A Raiter
1   Specialist Hospital of Alfred Sokolowski, Department of Endoscopy, Wałbrzych, Poland
,
K Kozłowska-Petriczko
2   SPWSZ Hospital, Department of Gastroenterology and Internal Medicine, Szczecin, Poland
,
J Petriczko
3   Pomeranian Medical University, Department of Plastic, Endocrine and General Surgery, Szczecin, Poland
,
A Wiechowska-Kozłowska
4   Hospital of the Ministry of Internal Affairs, Department of Gastroenterology, Szczecin, Poland
,
KM Pawlak
4   Hospital of the Ministry of Internal Affairs, Department of Gastroenterology, Szczecin, Poland
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An 88-year-old male with cholangitis (bile stone 2x3 cm) and empyema of the gallbladder was disqualified from surgery due to severe comorbidities. The complex endoscopic treatment was planned. Two ERCP procedures with a successful cholangioscopy (Spyglass, Spyscope BS), followed by the electrohydraulic lithotripsy (EHL; Autolith BS) of the CBD stone were performed. Additionally, the EUS guided Hot Axios stent (10x10mm) for cholecystogastrostomy creation was implanted. The last procedure was a cholecystoscopy through the Hot Axios stent lumen, using Spyglass (via the working channel of the colonoscope) with EHL of gallstones. The treatment was successful. Presently, the patient remains without symptoms.

Citation: Raiter A, Kozłowska-Petriczko K, Petriczko J et al. OP58V EUS-CHOLECYSTOGASTROSTOMY FOLLOWED BY CHOLANGIOSCOPY WITH SPYGLASS THROUGH THE LUMEN OF THE LAMS STENT AND LITHOTRIPSY OF GALLBLADDER STONES. Endoscopy 2021; 53: S25.



Publication History

Article published online:
19 March 2021

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