Endoscopy 2021; 53(S 01): S26
DOI: 10.1055/s-0041-1724320
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

Complete Surgical Transection of the Common Bile Duct: Combined EUS and ERCP Approach

D Martínez de Acitores
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
,
V Ubieto
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
,
L Zabalza
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
,
L Uribarri
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
,
B Gonzalez de la Higuera
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
,
M Gomez
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
,
F Estremera
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
,
JJ Vila
1   Complejo Hospitalario de Navarra, Endoscopy Unit. Gastroenterology Dpt., Pamplona, Spain
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Complete transection of the common bile duct is a severe complication of hepatobiliary surgery, clasically treated surgically. Endoscopic ultrasonography-guided rendezvous (EUS-RV) has been used as a bridge to surgery or definitive treatment. A 36-year-old woman presented with jaundice, fever and biliary leak after laparoscopic cholecystectomy. In ERCP a complete transection of the common bile duct is found. After unsuccessful retrograde attempts to access the intrahepatic bile duct, EUS-RV is completed and recanalization of the extrahepatic bile duct is achieved with placement of a fully covered metallic stent. The patient’s jaundice resolved and remains assymptomatic six months after discharge.

Citation: Martínez de Acitores D, Ubieto V, Zabalza L et al. OP60V COMPLETE SURGICAL TRANSECTION OF THE COMMON BILE DUCT: COMBINED EUS AND ERCP APPROACH. Endoscopy 2021; 53: S26.



Publication History

Article published online:
19 March 2021

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