Case of the Month: Endoscopic Ultrasound-Guided Choledochoduodenostomy Using a Lumen-Apposing Metal Stent in Pancreatic Head Neoplasm-Associated Biliary Obstruction

Manoj Kumar, MD, MPH, Gilad Shapira, MD, Alex Wiles, BA, Caitline Marshall, MD, Divya Nadella, BS, and Meir Mizrahi, MD
ACG Case Rep J 2018;5:e41

Editor’s Commentary: This Case of the Month describes biliary drainage through endoscopic ultrasound-guided choledochoduodenostomy utilizing the biflanged lumen-apposing fully covered metal stent mounted on an electrocautery-enhanced delivery system (The Hot AXIOS™ Stent and Electrocautery-Enhanced Delivery System, Boston Scientific Inc.). This was performed in a patient with biliary obstruction due to tumor infiltration into the common bile duct and the major papilla causing partial obstruction of the duodenal lumen, thus hindering major papilla cannulation. We chose this case to highlight a new innovation in endoscopic therapy, which provides a safe and minimally invasive treatment.

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The ACG Case Reports Journal is a peer-reviewed, open-access journal publishing gastroenterology and hepatology case reports. Edited by GI fellows, it is published online bi-weekly. There are no submission or publication fees for authors.