title: Hepatogastrostomy by EUS for malignant afferent loop obstruction after duodenopancreatectomy.
abstract: One of the most difficult biliary drainages is the recurrence and stenosis on afferent loop after surgery. We report an original case of hepaticogastrostomy (HGE) in a patient who had malignant stenosis of afferent loop after cephalic duodenopancreatectomy (CDP). After failure of the gastrointestinal stent, two metal self-expandable stents were placed by endoscopic ultrasound (EUS) after puncture of the dilated left hepatic duct. On clinical improvement and disappearance of jaundice, palliative chemotherapy was started.
authors.affiliation: Endoscopic Unit, Institut Paoli-Calmettes Marseille, Marseille, France.
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Ratone
authors.forename: Fabrice
authors.initials: F
authors.lastname: Caillol
authors.forename: Erwan
authors.initials: E
authors.lastname: Bories
authors.forename: Christian
authors.initials: C
authors.lastname: Pesenti
authors.forename: Sebastien
authors.initials: S
authors.lastname: Godat
authors.forename: Marc
authors.initials: M
authors.lastname: Giovannini