Year 2025 / Volume 117 / Number 10
Letter
A novel and challenging EUS-guided bridging technique for hilar cholangiocarcinoma (Bismuth IV) after total gastrectomy

623-625

DOI: 10.17235/reed.2024.10903/2024

Wei Zhang, Jiao Tian, Sen-Lin Hou, Yan-Kun Hou, Li-Chao Zhang,

Abstract
The incidence of hilar cholangiocarcinoma is (1-2) / 100,0001. Due to the high location of obstruction, the treatment of hilar cholangiocarcinoma is complicated, especially for patients with gastrointestinal surgery. The traditional ERCP technique is to find a way to place more stents to treat obstructive jaundice. When ERCP fails, (Percuteneous transhepatic cholangial drainage, PTCD) is often chosen, but the effect is not ideal. The reason is that patients do not want to carry a drainage tube, which affects the quality of life of patients. Secondly, PTCD technology is bile external drainage technology, which will affect the balance of water and electrolytes in the patient's body, and the patient's appetite will also decrease. Here, we provide a bridge technique of EUS-BD to solve the problem of simultaneous drainage of left liver and right liver with a stent, in order to provide a new treatment idea for endoscopists.
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References
1. Friman S. Cholangiocarcinoma--current treatment options. Scandinavian Journal of Surgery Sjs Official Organ for the Finnish Surgical Society & the Scandinavian Surgical Society 2011;100:30.
2. van der Merwe SW, van Wanrooij RLJ, Bronswijk M, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2021;54:185-205.
3. Kosuke, Minaga, Mamoru, et al. Rescue EUS-guided intrahepatic biliary drainage for malignant hilar biliary stricture after failed transpapillary re-intervention. Surgical Endoscopy 2017;31:1-9.
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Zhang W, Tian J, Hou S, Hou Y, Zhang L. A novel and challenging EUS-guided bridging technique for hilar cholangiocarcinoma (Bismuth IV) after total gastrectomy . 10903/2024


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Publication history

Received: 28/10/2024

Accepted: 04/11/2024

Online First: 19/11/2024

Published: 10/10/2025

Article Online First time: 22 days

Article editing time: 347 days


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