Aqui pode conhecer as candidaturas seleccionadas pelo júri do Prémio de Imagem Endoscópica 2019 para votação pelos sócios.
Os vencedores de cada categoria estão assinalados.
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Palliative ultrasound-guided choledochoduodenostomy using a lumen-apposing metal stent
Margarida Flor de Lima, Nuno Nunes, Carolina Chálim Rebelo, Vera Santos, Ana Catarina Rego, José Renato Pereira, Nuno Paz, Maria Antónia Duarte
Hospital do Divino Espírito Santo de Ponta Delgada
A 79-year-old female presented with obstructive jaundice. Laboratory tests revealed a total bilirubin of 15.49 mg/dL and an elevation of CA 19.9 of 4763 U/mL. The patient was diagnosed with a nonresenctable tumor of the head of the pancreas. A palliative biliary drainage was proposed. After an ERCP with failed cannulation using a pre-cut technique, an ultrasound-guided choledochoduodenostomy was performed and a 6 mm lumen-apposing fully-covered metal stent was placed through direct puncture of the dilated duct using an electrocautery-enhanced delivery system. There were no related complications. Following the procedure the patient showed laboratorial improvement in two weeks.