ImpactU Versión 3.11.2 Última actualización: Interfaz de Usuario: 16/10/2025 Base de Datos: 29/08/2025 Hecho en Colombia
Single-session EUS-guided hepaticogastrostomy and dual-scope gastroenterostomy: a modified technique for palliative double endoscopic biliary and gastric bypass
A 59-year-old man with unresectable ampullary adenocarcinoma causing gastric outlet and biliary obstruction was palliated by placement of biliary and duodenal self-expandable metal stents (SEMSs). His symptoms relapsed 4 months later and tumor ingrowth was noted through both SEMSs at endoscopy. Single-session endoscopic ultrasound (EUS)-guided biliary drainage and EUS-guided gastroenterostomy were undertaken.
