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Endoscopic Ultrasound–Directed Transgastric Endoscopic Retrograde Cholangiopancreatography for Removal of Cystic Duct Coils: A Novel Application of an Emerging Technique
- Source :
- ACG Case Reports Journal
- Publication Year :
- 2021
- Publisher :
- Wolters Kluwer, 2021.
-
Abstract
- The altered anatomy of patients after Roux-en-Y gastric bypass (RYGB) surgery creates technical challenges for endoscopic and surgical treatment of gallstones. We present a unique case of a post-RYGB patient with complicated gallbladder surgery requiring coiling and embolization of the cystic duct for bile leak. The cystic duct coils migrated out into the bile duct forming a nidus for infection and biliary obstruction, which was resolved using the novel endoscopic ultrasound–directed transgastric routine endoscopic retrograde cholangiopancreatography technique, with successful transpapillary removal of cystic duct coils in RYGB anatomy.
- Subjects :
- Endoscopic ultrasound
medicine.medical_specialty
Endoscopic retrograde cholangiopancreatography
medicine.diagnostic_test
Bile duct
business.industry
medicine.medical_treatment
Biliary
nutritional and metabolic diseases
Case Report
General Medicine
Gallstones
medicine.disease
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Gallbladder surgery
030220 oncology & carcinogenesis
medicine
Cystic duct
030211 gastroenterology & hepatology
Radiology
Embolization
business
Bile leak
Subjects
Details
- Language :
- English
- ISSN :
- 23263253
- Volume :
- 8
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- ACG Case Reports Journal
- Accession number :
- edsair.doi.dedup.....d335095ac89f1c222f1a20055ff86212