Related Experiment Video
Updated: Oct 4, 2025
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
6.0K
EUS-guided bilateral biliary access and metal stent placement post-Whipple resection
Abdul Kouanda1, Alexis Bayudan1, Jamey Walker1
1Department of Medicine, University of California, San Francisco, San Francisco, California.
Summary
This video demonstrates EUS-guided bilateral stent placement for malignant hilar obstruction after Whipple resection. The integrate and rendezvous approach offers a solution for complex cases.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Oncology
Background:
- Malignant hilar obstruction is a challenging complication following Whipple resection.
- Biliary drainage is crucial for managing such obstructions.
Purpose of the Study:
- To demonstrate the efficacy of endoscopic ultrasound (EUS)-guided bilateral stent placement.
- To showcase the integrate and rendezvous technique for complex hilar biliary drainage.
Main Methods:
- The video presents a case of malignant hilar obstruction post-Whipple resection.
- It details the step-by-step EUS-guided bilateral stent placement procedure.
- The integrate and rendezvous approach is highlighted.
Main Results:
- Successful bilateral stent placement was achieved using the described technique.
- This method facilitated biliary drainage in a complex post-surgical setting.
Conclusions:
- EUS-guided bilateral stent placement with the integrate and rendezvous technique is a viable option for malignant hilar obstruction after Whipple resection.
- This approach can effectively manage complex biliary drainage challenges.
