Derivación biliodigestiva guiada por ultrasonografía endoscópica en paciente con adenocarcinoma de páncreas y obstrucción de la vía biliar estadio IV: reporte de caso

Authors

DOI:

https://doi.org/10.22516/25007440.490

Keywords:

Bile duct obstruction, Retrograde endoscopic cholangiopancreatography (ERCP), Endoscopic ultrasonography (EUS)

Abstract

Endoscopic endosonography is an alternative to guide biliodigestive shunting in cases where endoscopic retrograde cholangiopancreatography (ERCP) has failed. Techniques such as choledoduodenostomy or choledochoantrostomy guided by endoscopic ultrasonography have been described.

This is the case of a 72-year-old patient with pancreatic adenocarcinoma, portal vein and duodenal wall involvement, in whom ERCP to try a palliative shunt failed. Therefore, a metal stent was placed using endoscopic endosonography, with adequate clinical response to the procedure and treatment. It is concluded that the procedure is safe and that endosonography is an effective alternative in cases of ERCP failure to achieve biliary bypass in cases of malignant biliary obstruction.

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Author Biographies

Wilmar Alfredo Martin Montero, Instituto Nacional de Cancerología

Fellow en cirugía gastrointestinal y endoscopia digestiva, Bogotá D. C., Colombia

Maria Eugenia Manrique Acevedo, Instituto Nacional de Cancerología ESE

Cirugía gastrointestinal, ecoendoscopia y endoscopia digestiva, Instituto Nacional de
Cancerología. Bogotá D. C., Colombia

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Figura 3. Masa de la cabeza del páncreas, dilatación de la vía biliar intra y extrahepática

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Published

2021-03-08

How to Cite

Martin Montero, W. A., & Manrique Acevedo, M. E. . (2021). Derivación biliodigestiva guiada por ultrasonografía endoscópica en paciente con adenocarcinoma de páncreas y obstrucción de la vía biliar estadio IV: reporte de caso. Revista Colombiana De Gastroenterología, 36(1), 120–125. https://doi.org/10.22516/25007440.490

Issue

Vol. 36 No. 1 (2021): Enero - Marzo

Section

Case report

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