title: Endoscopic ultrasound-guided antegrade stenting in an occluded biliary self-expandable metal stent.
abstract: Endoscopic ultrasound-guided biliary drainage (EUS-BD) is an attractive option for patients who cannot undergo conventional endoscopic retrograde cholangiopancreatography (ERCP) and do not want surgery or percutaneous drainage procedures. We present the use of EUS-antegrade (EUS-AG) insertion of a self-expandable metal stent (SEMS) in a patient with a common hepatic duct cholangiocarcinoma, as well as a huge gastric lipoma, after recurrent biliary obstruction of a prior SEMS inserted via ERCP in the same session as a duodenal stent insertion for gastric outlet obstruction.
authors.affiliation: Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia; Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital, McGill University, Montreal, Canada, .
authors.forename: Majid A
authors.initials: MA
authors.lastname: Almadi
authors.affiliation: Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Mohanned
authors.initials: M
authors.lastname: Eltayeb
authors.affiliation: Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Salem
authors.initials: S
authors.lastname: Thaniah
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D018281:Cholangiocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D019160:Endosonography / Q000379:methods; D006801:Humans; D008067:Lipoma / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D019152:Paracentesis / Q000379:methods*; D000069322:Self Expandable Metallic Stents; D016896:Treatment Outcome