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KMID : 0985520110160010015
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Korean Journal of Pancreas and Biliary Tract
2011 Volume.16 No. 1 p.15 ~ p.18
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Endoscopic Ultrasonography-guided Choledochoduodenostomy in Patient with Duodenal Stricture after a Failed Endoscopic Retrograde Cholangiopancreatography
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Moon Sung-Hoon
Kim Hong-Ja
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Abstract
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Endoscopic transpapillary biliary stenting is a well-established method for biliary decompression in patients with malignant biliary obstruction. When endoscopic transpapillary biliary access fails, percutaneous transhepatic biliary drainage is usually the next step. We here report a case of malignant biliary obstruction associated with pancreatic malignancy, in which endoscopic ultrasonography (EUS)-guided choledochoduodenostomy provided biliary decompression after a failed endoscopic retrograde cholangiopancreatography (ERCP). ERCP failed due to duodenal stricture associated with pancreatic malignancy. Compared with percutaneous transhepatic biliary drainage, EUS-guided biliary drainage has the merit of internal drainage and patient’s comfort. EUS-guided choledochoduodenostomy, therefore, can be a rescue therapy after a failed ERCP.
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KEYWORD
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Endoscopic ultrasonography, Choledochoduodenostomy
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