부산대학교 도서관

This article, published in the journal Endoscopy, discusses a case study of a 64-year-old female with pancreatic head cancer who experienced cholangitis due to stent obstruction after undergoing endoscopic ultrasound (EUS)-guided gallbladder drainage (GBD) with a lumen-apposing metal stent (LAMS). The article explores the use of a trans-gallbladder biliary rendez-vous procedure to convert a cholecystoduodenostomy to transpapillary drainage in distal malignant biliary obstruction. The procedure involved endoscopic stent cleansing, cholecystoscopy through the LAMS, visualization and cannulation of the internal cystic duct orifice, and the placement of a self-expanding metal stent (SEMS) for long-term transpapillary drainage. The article provides a video demonstration of the procedure. [Extracted from the article]