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We report a rare case of a Dieulafoy lesion of the major papilla successfully treated with APC. B Video 1 b Endoscopic treatment of a Dieulafoy lesion of the major papilla with argon plasma coagulation and prophylactic pancreatic stent deployment. At the 15-day follow-up, the endoscopy showed complete healing of the papilla of Vater and the spontaneous migration of the pancreatic stent. [Extracted from the article]

We proposed endoscopic ultrasound (EUS)-guided duodenojejunostomy created using a lumen-apposing metal stent (LAMS) to allow endoscopic management of the bilioenteric stricture. B Video 1 b Endoscopic ultrasound (EUS)-guided duodenojejunostomy created using a lumen-apposing metal stent (LAMS) to enable endoscopic management of a bilioenteric anastomotic stricture. At 9 months after the EUS-guided duodenojejunostomy and 3 months from FCSEMS removal the patient is asymptomatic with normal liver test results. [Extracted from the article]

Laparoscopic cholecystectomy is still associated with a considerable rate of biliary injuries and related strictures. Advances in interventional endoscopy and percutaneous techniques have made stenting a preferred treatment modality for the management of these strictures. We report successful 20 years of follow-up of a case of trans-hepatic metallic stenting (2 Gianturco® prostheses, 5 cm long, 2 cm in diameter) done for stenosed hepaticojejunostomy anastomosis after laparoscopic CBD injury. Percutaneous transhepatic stenting and long-term placement of metallic stents need to be re-evaluated as a minimally invasive definitive treatment option for benign biliary strictures in patients with altered anatomy such as hepatico-jejunostomy or in whom re-operation involves high risk. [ABSTRACT FROM AUTHOR]

The article a case study of 88- and 67-year-old women with cholangitis, who both developed perforations because of endoscopic ultrasound (EUS). An over-the-scope clip (OTSC) was used to close every perforation and endoscopic sphincterotomy was performed to restore biliary drainage. The article discusses the use of OTSC during the treatment of accidental gastrointestinal perforation from EUS, which allows a safe process of complex endoscopic retrograde chalangiopancreatography (ERCP).

Fluoroless endoscopic ultrasound-guided biliary drainage after failed ERCP with a novel lumen-apposing metal stent mounted on a cautery-tipped delivery system. Endoscopic ultrasound guided choledocho-enterostomy by using lumen apposing metal stent in patients with failed endoscopic retrograde cholangiopancreatography: a literature review. [Extracted from the article]