Year 2024 / Volume 116 / Number 11
Letter
Endoscopic ultrasound performed by a surgical approach in a patient with a pancreatic lesion and stenosing esophageal adenocarcinoma

637-638

DOI: 10.17235/reed.2024.10136/2023

José Ruiz Pardo, Pedro Antonio Sánchez Fuentes, Elisabet Vidaña Márquez, Eva Iglesias Asenjo, María Francisca Anguita Montes, Íñigo Gorostiaga, Ricardo Belda Lozano, Ángel Reina Duarte,

Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) performed in situations of altered anatomy has been described. Thus, in cases of Roux-en-Y gastric by-pass, several approaches have been documented for performing ERCP: by enteroscopy, guided by laparoscopic approach through the gastric remnant, and direct transgastric guided by endoscopic ultrasound through a stent between the reservoir or alimentary loop and the gastric remnant. However, there are clinical situations in which the anatomy is not altered, but there may be pancreatic lesions subsidiary to study by endoscopic ultrasound in situations where the endoscope cannot pass through the esophagus. Therefore, we present the clinical case of a patient with a pancreatic lesion subsidiary to study and a distal esophageal adenocarcinoma that prevented the passage of the endoscope.
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References
1. Espinel Díez J, Pinedo Ramos ME. Single-balloon enteroscopy-assisted ERCP in patients with Roux-en-Y anatomy and choledocholithiasis: do technical improvements mean better outcomes? Rev Esp Enferm Dig. 2020;112:929-34. DOI: 10.17235/reed.2020.7287/2020.
2. Pinto-Carta R, Sierra-Arango F, Sabbagh de La Espriella D, et al. A single session of EUS directed transgastric ERCP and EUS FNB in a patient with RYGB, pancreatic head tumor and biliary obstruction. Rev Esp Enferm Dig. 2022;114:559-60. DOI: 10.17235/reed.2022.8743/2022.
3. Zhang LY, Irani S, Khashab MA. Biliary Endoscopy in Altered Anatomy. Gastrointest Endosc Clin N Am. 2022;32:563-82. DOI: 10.1016/j.giec.2022.02.001.
4. Gkolfakis P, Papaefthymiou A, Facciorusso A, et al. Comparison between Enteroscopy-, Laparoscopy- and Endoscopic Ultrasound-Assisted Endoscopic Retrograde Cholangio-Pancreatography in Patients with Surgically Altered Anatomy: A Systematic Review and Meta-Analysis. Life (Basel). 2022;12:1646. DOI 10.3390/life12101646.
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Citation tools
Ruiz Pardo J, Sánchez Fuentes P, Vidaña Márquez E, Iglesias Asenjo E, Anguita Montes M, Gorostiaga Í, et all. Endoscopic ultrasound performed by a surgical approach in a patient with a pancreatic lesion and stenosing esophageal adenocarcinoma. 10136/2023


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Publication history

Received: 04/12/2023

Accepted: 14/12/2023

Online First: 11/01/2024

Published: 11/11/2024

Article Online First time: 38 days

Article editing time: 343 days


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