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A 72-year-old man with a malignant hilar biliary obstruction was referred to our endoscopy unit for biliary drainage. The patient had undergone esogastrectomy for an esophagogastric junction adenocarcinoma in 2011,… Click to show full abstract
A 72-year-old man with a malignant hilar biliary obstruction was referred to our endoscopy unit for biliary drainage. The patient had undergone esogastrectomy for an esophagogastric junction adenocarcinoma in 2011, followed by total gastrectomy with colon interposition in 2019 for a gastric adenocarcinoma. There was an esophagocolonic anastomosis and a side-to-side duodenocolonic anastomosis. The patient was referred for biliary obstruction due to perihilar carcinomatosis with no sign of cholangitis but with dysphagia related to an upper anastomosis stenosis.
Journal Title: VideoGIE
Year Published: 2021
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