Matthew Fasullo
Tanzania
Case Report
G-Tube Guided Endoscopic Retrograde Cholangiopancreatography; A Lifesaving Procedure
Author(s): Yasir Alazzawi, Matthew Fasullo, Christopher Marshall and Wahid WassefYasir Alazzawi, Matthew Fasullo, Christopher Marshall and Wahid Wassef
Introduction: Acute cholangitis is a consequence of obstruction and infection of the biliary tract. Endoscopic retrograde cholangiopancreatography (ERCP) is key in the management of choice as acute cholangitis as stone extraction and/or stent insertion establishes biliary drainage and relief of infection. Anatomical variation following Roux-en-Y gastric bypass surgery or patients with esophageal obstructions like in our case are prone to make the early intervention by ERCP a challenge . We describe a case report of septic cholangitis in a patient whom gastrostomy tube (G-tube) access allowed the performance of successful ERCP which was otherwise impossible. Case report: 75-year-old male with multiple comorbidities and esophageal cancer status post G-tube placement for malnutrition who presented with cholangitis. On admission, the patient had fever, nausea and decrease in level of acti.. View More»
