Endoscopic Ultrasound-Guided Rendezvous for Biliary Obstruction in Patient With Prior Whipple Surgery

Mohammad Arfeen, Nicholas M. McDonald, Mohammad Bilal

Abstract


Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy remains a challenging procedure even for the more experienced endoscopists. We present a unique case of an ERCP performed in a patient with prior Whipple surgery, where biliary access was obtained via an endoscopic ultrasound (EUS)-guided rendezvous technique, and cannulation was ultimately done using a modified therapeutic endoscope with successful biliary drainage.




J Med Cases. 2022;13(4):183-187
doi: https://doi.org/10.14740/jmc3842

Keywords


EUS rendezvous; ERCP; Post-Whipple; Surgically altered anatomy

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