Endoscopy 2001; 33(10): 898-900
DOI: 10.1055/s-2001-17324
Case Report

© Georg Thieme Verlag Stuttgart · New York

Endoscopic Ultrasound-Guided Bilioduodenal Anastomosis: A New Technique for Biliary Drainage

M. Giovannini 1 , V. Moutardier 2 , C. Pesenti 1 , E. Bories 1 , B. Lelong 2 , J. R. Delpero 2
  • 1 Endoscopy Unit, Paoli-Calmettes Institute, Marseilles, France
  • 2 Dept. of Surgery, Paoli-Calmettes Institute, Marseilles, France
Further Information

Publication History

Publication Date:
20 September 2001 (online)

Endoscopic biliary stenting is the most common method of treating obstructive jaundice. We present a new technique of biliary drainage using endoscopic ultrasound (EUS) and EUS-guided puncture of the common bile duct (CBD). A 56-year-old man with obstructive jaundice was referred for EUS and endoscopic retrograde cholangiopancreatography (ERCP) because a computed tomography (CT) scan had shown a pancreatic mass in the head of the pancreas and a dilated CBD. The patient was enrolled in a preoperative chemoradiotherapy protocol and biliary stenting was required. Deep cannulation was not obtained even after a precut and the procedure was stopped. Using a therapeutic EUS scope (FG 38X Pentax), the CBD was punctured with a 5-F needle-knife under EUS guidance and a cholangiogram was obtained. A 0.35-inch guide wire was introduced into the CBD. The EUS scope was removed and a duodenoscope was introduced, allowing the placement through the duodenum of a 10-F plastic stent. The CBD was drained properly. No complication occurred.

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M. Giovannini,M.D. 

Endoscopy Unit
Paoli-Calmettes Institute

232 Bd Ste-Marguerite

13273 Marseille Cedex 9
France


Fax: + 33-4-91223650

Email: hdjchir@marseille.fnclcc.fr