Endoscopic Ultrasound-guided Hepaticogastrostomy, Experience in Colombia: Case Series
DOI:
https://doi.org/10.22516/25007440.1030Keywords:
Hepaticogastrostomy, Endoscopy, Biliary obstruction, ColombiaAbstract
The primary tool for malignant biliary obstruction is decompression of the bile duct, using endoscopic retrograde cholangiopancreatography (ERCP) with stenting, which is satisfactory in many cases; still, the actual challenge arises when it is impossible to cannulate the ampulla of Vater due to neoplastic involvement at that level. Although percutaneous transhepatic biliary drainage (PTBD) is an option, it has high morbidity, which directly impacts the patient’s quality of life by having an external device added to a malignant pathology. With the arrival of endoscopic ultrasound (EUS), new methods have been reported, such as EUS-guided hepaticogastrostomy (EUS-HGS), which is performed through a natural orifice (NOTES) and positively impacts the outcome of these patients. Below is an example of our experience with the first three cases in Colombia.
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