EUS-guided antegrade transhepatic placement of a self-expandable metal stent in hepatico-jejunal anastomosis

JOP. 2011 Nov 9;12(6):610-3.


Context: To demonstrate an EUS-guided biliary drainage in patient with gastrointestinal tract modified surgically.

Case report: An EUS guided access to the left intra hepatic duct, followed by an antegrade passage of a partially self-expandable metal stent that was removed by using an enteroscope, in one patient with hepatico-jejunal anastomosis. There were no early or delayed complications and the procedure was effective in relieving jaundice until the self-expandable metal stent was removed, 3 months later. A cholangiogram was obtained via enteroscopy, after removal of self-expandable metal stent, and found to be normal. The patient had an uneventful evaluation afterwards.

Conclusion: The indication of these procedures must be made under a multidisciplinary view while sharing information with the patient or legal guardian. EUS-guided biliary drainage is feasible when performed by professionals with expertise in biliopancreatic endoscopy and advanced echo-endoscopy and should be performed currently under rigorous protocol in educational institutions.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Roux-en-Y
  • Biliary Tract Surgical Procedures / methods*
  • Female
  • Humans
  • Jejunostomy
  • Jejunum / surgery*
  • Liver / surgery*
  • Metals
  • Middle Aged
  • Stents*
  • Tissue Expansion Devices*
  • Ultrasonography, Interventional / methods


  • Metals