
17/10/2024
Combined / Single session EUS guided FNB for tissue acquisition & ERCP for biliary decompression via stent insertion, in a patient with distal biliary obstruction secondary to a pancreatic head mass.
EUS (HPB)
FNB x 3 performed at the 4cm pancreatic head mass lesion, using a 22G Acquire-S FNB needle (via stomach and D1 approach)
Followed by,
ERCp:
Wire guided CBD cannulation -> Cholangiogram = Distal CBD stricture -> Sphincterotomy -> Biliary brushings -> FcSEMS deployment
(ٱلْحَمْدُ لِلَّٰهِ)