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  • Title: Extrahepatic anterograde covered self-expandable metallic stent placement across malignant biliary obstruction passed by endoscopic ultrasound guidance access: a challenging technique.
    Author: Artifon EL, Ferreira F, Benevides G, Marcaccio FH, Otoch JP, Takada J, Carnevale FC, Mota AM, Moura E, Rasslan S, de Figueiredo LP, Sakai P.
    Journal: Acta Gastroenterol Latinoam; 2012 Sep; 42(3):224-9. PubMed ID: 23214354.
    Abstract:
    The authors report the case of a female patient submitted to endoscopic cholangiography intending to drain the biliary tree due to jaundice. The patient had gastrointestinal deviation due to an advanced gastric cancer that evolved with a distal extrahepatic mass. Abdominal CT scan demonstrated a distal mass, extrahepatic biliary dilation and a normal intra-hepatic tree. In this condition and after a multidisciplinary discussion, an endoscopic ultrasound guided extrahepatic access with the deployment of a partially covered self-expandable metallic stent was performed. The patient normalized her bilirubin levels after a successful procedure.
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