Endoscopic ultrasonography-guided biliary drainage in a patient with a locally advanced pancreatic tumor with obstructive jaundice. (Case report)

Bourdyukov M.S.

S.P. Botkin City Clinical Hospital;
Federal Clinic Network «Euroonco»

ORCID: 0000-0003-4690-9335

Agapov M.Y.

City Clinical Oncology Hospital

ORCID: 0000-0002-6322-6782

Aliev N.A.

Republican Clinical Hospital No. 2;
Dagestan State Medical University

ORCID: 0000-0002-9772-1351

Endoscopic ultrasonography-guided biliary drainage in a patient with a locally advanced pancreatic tumor with obstructive jaundice. (Case report)

Authors:

Bourdyukov M.S., Agapov M.Y., Aliev N.A.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2024;13(1): 108‑114

DOI: 10.17116/dokgastro202413011108

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To cite this article:

Bourdyukov MS, Agapov MY, Aliev NA. Endoscopic ultrasonography-guided biliary drainage in a patient with a locally advanced pancreatic tumor with obstructive jaundice. (Case report). Russian Journal of Evidence-Based Gastroenterology. 2024;13(1):108‑114. (In Russ.)
https://doi.org/10.17116/dokgastro202413011108

Подписка 2025-2 (Russian Journal of Evidence-Based Gastroenterology)

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CASE REPORT

A 62-year-old male, initially diagnosed with pseudotumorous pancreatitis, presented with obstructive jaundice due to pancreatic head involvement. Conventional interventions, including endoscopic retrograde pancreatography and percutaneous drainage, proved unsuccessful. Subsequent investigations confirmed ductal adenocarcinoma. Faced with challenges posed by a locally advanced tumor and recurrent complications, the patient underwent a groundbreaking procedure—EUS-choledocho-duodenal anastomosis with drainage system. The intervention, guided by a multidisciplinary approach, exhibited successful stent deployment, alleviating jaundice.

CONCLUSION

The utilization of the drainage system in EUS-BD has demonstrated its efficacy and safety in treating patients with obstructive jaundice complicated by duodenal stenosis. The outcomes of this endoscopic treatment, characterized by its minimal invasiveness, play a crucial role in reducing hospitalization duration and ensuring a satisfactory quality of life for patients.

Keywords:

obstructive jaundice

pancreatic cancer

endosonography

endoscopic ultrasonography-guided biliary drainage

Authors:

Bourdyukov M.S.

S.P. Botkin City Clinical Hospital;
Federal Clinic Network «Euroonco»

ORCID: 0000-0003-4690-9335

Agapov M.Y.

City Clinical Oncology Hospital

ORCID: 0000-0002-6322-6782

Aliev N.A.

Republican Clinical Hospital No. 2;
Dagestan State Medical University

ORCID: 0000-0002-9772-1351

Received:

13.11.2023

Accepted:

12.01.2024

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