2022 Volume 64 Issue 3 Pages 270-276
A 65-year-old man with small bowel obstruction (SBO) and obstructive jaundice due to recurrence of cystic duct cancer was admitted to our division. He had history of gallbladder bed and extrahepatic bile duct resection (partial liver resection) with Roux-en-Y reconstruction. We performed EUS-guided hepaticogastrostomy (EUS-HGS) for biliary drainage and EUS-guided transluminal drainage of dilated jejunal limb. Obstructive jaundice and abdominal pain were resolved, thereby improving the patientʼs QOL. We searched PubMed for articles published between October 2000 and October 2021 using the terms “EUS-guided transluminal drainage, gastrojejunostomy, or gastroenterostomy” and “small bowel obstruction”. On the basis of search results, this is the first report on EUS-guided transmural drainage for SBO and jaundice due to recurrence of cystic duct cancer. It is difficult to improve prognosis and QOL of patients with SBO caused by recurrent cancer with surgical treatment. Thus, endoscopic internal drainage is desirable. In the future, the development of dedicated devices and elaborate indications for currently available devices are required.
