Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report
We present the case of a 76-year-old man who underwent preoperative endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) for obstructive jaundice caused by pancreatic head cancer. The patient had obstructive jaundice and cholangitis during neoadjuvant chemotherapy. Transpapillary biliary drain...
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Society of Gastrointestinal Intervention
2025-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| author | Taira Kuroda Hideki Miyata Yuka Kimura Ayaka Nakamura Takuya Matsuda Kana Matsuoka Mai Fukumoto Kazuya Murakawa Taisei Murakami Hirofumi Izumoto Kei Onishi Shogo Kitahata Kozue Kanemitsu-Okada Tomoe Kawamura Fujimasa Tada Eiji Tsubouchi Jun Hanaoka Atsushi Hiraoka Tomoyuki Ninomiya |
| author_facet | Taira Kuroda Hideki Miyata Yuka Kimura Ayaka Nakamura Takuya Matsuda Kana Matsuoka Mai Fukumoto Kazuya Murakawa Taisei Murakami Hirofumi Izumoto Kei Onishi Shogo Kitahata Kozue Kanemitsu-Okada Tomoe Kawamura Fujimasa Tada Eiji Tsubouchi Jun Hanaoka Atsushi Hiraoka Tomoyuki Ninomiya |
| author_sort | Taira Kuroda |
| collection | DOAJ |
| description | We present the case of a 76-year-old man who underwent preoperative endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) for obstructive jaundice caused by pancreatic head cancer. The patient had obstructive jaundice and cholangitis during neoadjuvant chemotherapy. Transpapillary biliary drainage using endoscopic retrograde cholangiopancreatography was attempted; however, it was unsuccessful because of duodenal tumor invasion. Therefore, EUS-HGS was performed. Jaundice and cholangitis improved promptly after EUS-HGS, and stent obstruction and migration were not observed before surgery. The stent was safely removed during surgery, and no postoperative complications occurred. Most studies of EUS-HGS for preoperative biliary drainage have been small and retrospective, and few have examined the safety of intraoperative stent removal. The fistula in our patient was promptly identified and the stent was safely removed despite the relatively limited field of view during robot-assisted laparoscopy. The promising findings of our case report can be used to inform EUS-based surgical strategies for biliary drainage with obstructive jaundice. |
| format | Article |
| id | doaj-art-e4ec6efd38ce44c2b9fd33d9bccdb87c |
| institution | Kabale University |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-e4ec6efd38ce44c2b9fd33d9bccdb87c2025-01-22T15:13:37ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-01-01141202310.18528/ijgii240048ijgii240048Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case reportTaira Kuroda0Hideki Miyata1Yuka Kimura2Ayaka Nakamura3Takuya Matsuda4Kana Matsuoka5Mai Fukumoto6Kazuya Murakawa7Taisei Murakami8Hirofumi Izumoto9Kei Onishi10Shogo Kitahata11Kozue Kanemitsu-Okada12Tomoe Kawamura13Fujimasa Tada14Eiji Tsubouchi15Jun Hanaoka16Atsushi Hiraoka17Tomoyuki Ninomiya18Gastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, JapanWe present the case of a 76-year-old man who underwent preoperative endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) for obstructive jaundice caused by pancreatic head cancer. The patient had obstructive jaundice and cholangitis during neoadjuvant chemotherapy. Transpapillary biliary drainage using endoscopic retrograde cholangiopancreatography was attempted; however, it was unsuccessful because of duodenal tumor invasion. Therefore, EUS-HGS was performed. Jaundice and cholangitis improved promptly after EUS-HGS, and stent obstruction and migration were not observed before surgery. The stent was safely removed during surgery, and no postoperative complications occurred. Most studies of EUS-HGS for preoperative biliary drainage have been small and retrospective, and few have examined the safety of intraoperative stent removal. The fistula in our patient was promptly identified and the stent was safely removed despite the relatively limited field of view during robot-assisted laparoscopy. The promising findings of our case report can be used to inform EUS-based surgical strategies for biliary drainage with obstructive jaundice.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240048endoscopic ultrasound-guided fine needle aspirationgastric fistulajaundice, obstructivepreoperative procedures |
| spellingShingle | Taira Kuroda Hideki Miyata Yuka Kimura Ayaka Nakamura Takuya Matsuda Kana Matsuoka Mai Fukumoto Kazuya Murakawa Taisei Murakami Hirofumi Izumoto Kei Onishi Shogo Kitahata Kozue Kanemitsu-Okada Tomoe Kawamura Fujimasa Tada Eiji Tsubouchi Jun Hanaoka Atsushi Hiraoka Tomoyuki Ninomiya Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report International Journal of Gastrointestinal Intervention endoscopic ultrasound-guided fine needle aspiration gastric fistula jaundice, obstructive preoperative procedures |
| title | Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report |
| title_full | Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report |
| title_fullStr | Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report |
| title_full_unstemmed | Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report |
| title_short | Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report |
| title_sort | malignant biliary obstruction treated with preoperative endoscopic ultrasound guided hepaticogastrostomy a case report |
| topic | endoscopic ultrasound-guided fine needle aspiration gastric fistula jaundice, obstructive preoperative procedures |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240048 |
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