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Updated: Jul 16, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Clinics in diagnostic imaging (115). Extraluminal biliary tree obstruction due to compression by pancreatic head
C T Wai1, K Y Seto, D S Sutedja
1Asian Centre for Liver Disease and Transplantation, 6A Napier Road, #02-37 Annexe Block, Gleneagles Hospital, Singapore 258500. waict2002@yahoo.com
Abstract:
A 58-year-old Chinese woman presented initially with obstructive jaundice. Initial ultrasonography showed gallstones, calculus in common bile duct, and obstructed biliary system. Endoscopic retrograde cholangiopancreatography showed an extrinsic compression at common bile duct, and subsequent computed tomography scan showed a mass in the head of the pancreas. Endoscopical ultrasonography revealed masses in the gallbladder and pancreas. An exploratory laparotomy confirmed gallbladder cancer with spread to pancreas, segment IV of the liver, and regional lymph nodes. The patient was treated palliatively with metallic biliary stent for biliary drainage.
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