Per journal article: téllez-ávila et al 2018 ¿biliary drainage in patients with failed ercp: percutaneous versus eus-guided drainage¿.A retrospective analysis of data obtained prospectively from paper and electronic records of patients with diagnosis of biliary tract obstruction with at least 1 failed ercp procedure or inaccessible second duodenal portion was performed.Patients were seen from june 2009 to june 2016 at the national institute ofmedical sciences and nutrition salvador zubirán at (b)(4).Eus-guided choledochoduodenostomy the dilated extrahepatic bile duct was visualized and punctured with a 19-g access needle (cook medical endoscopy, winston-salem, nc) from the duodenal bulb.After the bile was aspirated, contrast medium was injected to obtain a cholangiogram and a 0.035-inch guidewire was inserted into the bile duct through the needle.This report is regarding one patient (3%) who presented bleeding at the puncture site, which required endoscopic management with a favorable response.
|