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CASE REPORT
Year : 2015  |  Volume : 4  |  Issue : 3  |  Page : 250-252

Hepatogastrostomy by EUS for malignant afferent loop obstruction after duodenopancreatectomy


Endoscopic Unit, Institut Paoli-Calmettes Marseille, Marseille, France

Correspondence Address:
Dr. Jean-Philippe Ratone
Institut Paoli-Calmettes Marseille, 232 Bd De Sainte Marguerite, 13009 Marseille
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.163017

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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.


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