Single-session EUS-guided gastroenterostomy and EUS-guided gallbladder drainage in a patient with concomitant gastric outlet obstruction and acalculous cholecystitis

Abstract

EUS-guided interventions for cholecystitis and gastric outlet obstruction (GOO) are emerging techniques for high-risk surgical patients. Compared with percutaneous drainage, EUS-guided gallbladder drainage (EUS-GB) has superior clinical and high technical success rates and limited adverse events. Similarly, EUS-guided gastroenterostomy (EUS-GE) for GOO has clinical and technical success rates similar to surgical options, with reduced length of stay, hospital costs, and early resumption of oral intake. When needed, performing both of these procedures concomitantly can be efficient and can obviate the need for additional procedures. In this article and video case report, we report both a successful EUS-GB and a successful EUS-GE that were performed in a single session.