Endosonographically guided gallbladder drainage to treat neoplastic jaundice after Roux-en-Y gastric resection

A 81-year-old man, who had undergone subtotal gastric resection with Roux-en-Y anastomosis for gastric adenocarcinoma 2 years earlier, was admitted to our hospital for obstructive jaundice. Abdominal computed tomography showed a solid mass (30 × 30 mm) at the pancreatic head, involving the common bile duct and the duodenum and suspicious for portal vein and mesenteric axis invasion ([Fig. 1]). An endoscopic ultrasonography (EUS)-guided fine...