Endoscopic ultrasound-guided cyst drainage is increasingly performed in the treatment of pancreatic pseudocysts and walled-off pancreatic necrosis. We have experienced three cases of colonic fistula after endoscopic ultrasound-guided cyst drainage. Case #1 was a patient with walled-off pancreatic necrosis, in which a fistula into the transverse colon occurred as a late complication of endoscopi...

Endoscopic retrograde cholangio-pancreatography (ERCP) is increasing utilized in the setting of liver transplantation for a number of post-operative related biliary issues. Although ERCP represents an excellent technology, it is not without attendant risk including sepsis, bleeding and perforation. In this case report, the first of its kind, is described the occurrence of a migrated biliary ste...

Non-parasitic hepatic cysts with biliary communication are rare. The clinical symptoms involved are not specific to this condition, thereby making diagnosis difficult and treatment controversial. Here, we report a case of 70-year-old woman complaining of abdominal satiety, combined with non-specific pain in the right upper quadrant. The abdominal contrast-enhanced MRI-scan revealed a large and ...

BACKGROUND Cholecystectomy has been the treatment of choice for symptomatic gallstones, but remains the greatest source of post-operative biliary injuries. Laparoscopic approach has been recently preferred because of short hospitalisation and low morbidity but has an higher incidence of biliary leakages and bile duct injuries than open one due to a technical error or misinterpretation of the an...

choledochoduodenostomy (EUS-CDS) is reported with increasing frequency [1]. While stent migration into the bile duct is a possible complication of EUS-CDS, it has not previously been reported. We describe a case of complete stent migration into the bile duct, where the stent was successfully retrieved by inserting an endoscope directly into the bile duct after balloon dilation of the duodenal f...

Biliopleural fistula (BF) and formation of biliopleural effusion is a rare complication following percutaneous transhepatic biliary drainage (PTBD). It occurs when the pleura is traversed by the catheter before entering the bile duct. Biliopleural fistula should be suspected when right side pleural effusion develops following the PTBD procedure. The diagnosis of biliopleural fistula is made whe...

A 10-year-old boy with a history of bloody discoloration of urine following recent appendectomy was referred to our department for urinary leakage/fistula evaluation. A renal Technetium-99m-L,L-ethylenedicysteine (99mTc-EC) scintigraphy was performed. After injection of radiotracer, a focus of activity appeared in the supralateral part of the right kidney which was confirmed as accum...

Postoperative benign biliary strictures are major adverse events following biliary surgery. Endoscopic retrograde cholangiography (ERC) is the standard treatment, but it is sometimes challenging in patients with surgically altered anatomy despite the development of balloon enteroscopy [1]. Recently, endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) has been reported as an effecti...

OBJECTIVE To review prospective randomized controlled trials to determine whether pancreaticogastrostomy (PG) or pancreaticojejunostomy (PJ) is associated with lower risks of mortality and pancreatic fistula after pancreaticoduodenectomy (PD). BACKGROUND Previous studies comparing reconstruction by PG and PJ reported conflicting results regarding the relative risks of mortality and pancreatic...