Endoscopy 2024; 56(S 02): S248
DOI: 10.1055/s-0044-1783269
Abstracts | ESGE Days 2024
Moderated Poster
EUS guided biliary 27/04/2024, 12:00 – 13:00 Science Arena: Stage 2

EUS-guided Hepaticogastrostomy in Patients with Whipple's procedure: Deceived by Fluoroscopy, EUS vision to rescue

R. Chavan
1   Ansh clinic, Ahmedabad, India
,
S. Rajput
1   Ansh clinic, Ahmedabad, India
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Abstract Text Endoscopic ultrasound guided hepatico-gastrostomy (EUS-HGS) is technically challenging procedure. Guidewire manipulation during EUS-HGS is a rate limiting step. Primarily we rely on fluoroscopy during guidewire manipulation. In this case we have demonstrated how EUS vision helped in accurate positioning of guidewire when it got mal-positioned into hepatic parenchyma during EUS HGS.

A-65year-male with history of Whipple's procedure for pancreas head malignancy 2 years back, presented with recurrence of tumor at porta hepatis and obstructive jaundice. He had hilar stricture with surgically altered anatomy. In this patient we have performed EUS-HGS and troubleshooted mal-positioned guidewire using EUS vision.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/5cde13f7-0089-41db-b03d-e7a932345af0/Uploads/13821_Radhika_Chavan%20HGS%20esge%201.mp4



Publication History

Article published online:
15 April 2024

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