title: Endoscopic ultrasound-guided choledochoantrostomy as an alternative extrahepatic bile duct drainage method in pancreatic cancer with duodenal invasion.
abstract: Recently, endoscopic ultrasonography-guided bile duct drainage (EUS-BD) has become popular as an alternative method of biliary drainage in cases of failed endoscopic retrograde cholangiopancreatography. In terms of EUS-guided extrahepatic bile duct drainage, recently, EUS-guided choledochoantrostomy has been reported as a variation of EUS-BD. We describe a case of successful choledochoantrostomy using a fully covered self-expandable metallic stent. We conclude that EUS-guided choledochoantrostomy should be one option for biliary decompression. In particular, if patients have duodenal strictures, with or without a duodenal metal stent, it seems to be an ideal alternative to choledochoduodenostomy.
authors.affiliation: Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. itoi@tokyo-med.ac.jp
authors.forename: Takao
authors.initials: T
authors.lastname: Itoi
authors.forename: Fumihide
authors.initials: F
authors.lastname: Itokawa
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Tsuchiya
authors.forename: Shujiro
authors.initials: S
authors.lastname: Tsuji
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Tonozuka
mesh_terms: D017734:Bile Ducts, Extrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002768:Choledochostomy / Q000379:methods*; D004322:Drainage / Q000379:methods*; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery; D019160:Endosonography / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011706:Pyloric Antrum / Q000601:surgery*; D015607:Stents