EUS Directed Transgastric Ercp (EDGE) With Direct Cholangioscopy For Endoscopic Manage Of Common Bile Duct Stricture In A Patient With Gastric By-Pass Complications

Background and clinical case Biliary therapy is challenging in bariatrc surgery. EUS allows biliary access.

Male patient with gastric bypass developed complications including gastrogastric fistula non amendable for Duodenoscope and bile duct stricture.

Endoscopic findings Free hand EDGE with LAMS (Hot Axios 20 x 10 mm). A deferred ERCP described a common hepatic duct stricture drained by plastic stent. A second ERCP for cholangitis with cholangioscopy (Spy Glass DS II) observing a common duct lesion (biopsies pending) and assisting successful metallic covert stent drainage.

Conclusions Biliary disease in bariatric surgery could be approachable with complex therapy mixing EDGE and cholangioscopy.

Citation Puig M, Iborra I, Marín I et al. eP431V EUS DIRECTED TRANSGASTRIC ERCP (EDGE) WITH DIRECT CHOLANGIOSCOPY FOR ENDOSCOPIC MANAGE OF COMMON BILE DUCT STRICTURE IN A PATIENT WITH GASTRIC BY-PASS COMPLICATIONS. Endoscopy 2021; 53: S238.

Publication History

Article published online:
19 March 2021