A CASE OF SUCCESSFUL THERAPEUTIC TRANSGASTROSTOMAL ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (TG-ERCP) IN A PATIENT WHO DEVELOPED ACUTE CHOLANGITIS

Abstract

An 86-year-old man with gastrostomy who has difficulty with oral intake due to cerebral infarction, was admitted to our hospital for acute cholangitis caused by common bile duct stones. We considered and discussed carefully with his family about the potential complications of various procedures. On the 13th hospital day, we performed transgastrostomal endoscopic retrograde cholangiopancreatography (TG-ERCP) using an Olympus GIF-XQ240 gastroscope after dilatation of the gastrostomy opening. It was difficult to find the major papilla. Using a papillotome, we succeeded in performing selective cholangiography, performing endoscopic sphincterotomy and removing the bile stones using a balloon catheter. He recovered and was discharged with no complications. Therefore, this method was considered to be useful.