EUS FNA FNB + ERCP + SEMS Placement | Dr Chintan Patel | Interventional GI скачать в хорошем качестве

EUS FNA FNB + ERCP + SEMS Placement | Dr Chintan Patel | Interventional GI

A 71-year-old male, presented with complaints of Abdominal pain, Weight loss and Jaundice. He was Co-morbid with- DM/HT/IHD and post-CABG status. His USG was Pancreatic head mass and CT s/o Pancreatic head mass with peripancreatic nodes. His relatives denied definitive surgery and neoadjuvant therapy after consultation with an onco-physician and surgeon and therefore was referred for histological diagnosis and palliation in the same sitting. He underwent EUS FNA FNB followed self-expandable metal Stent placement for palliative care and was discharged after overnight observation. Take home message: The most definitive investigation to find out the etiology of obstructive jaundice is EUS. Approximately 97-98% of obstructive jaundice can be managed endoscopically. Endoscopic drainage of the bile is more physiological and should be the first choice of treatment. PTBD should be offered only if ERC/EUS-guided biliary drainage fails in experienced hands.