Emergent endoscopic ultrasonography‐guided antegrade treatment for acute biliary pancreatitis in a patient with altered gastrointestinal anatomy

Abstract

The patient was a 73‐year‐old man who had previously received partial gastrectomy with Roux‐en‐Y reconstruction due to gastric cancer. He presented with a high fever and abdominal pain and was in a shock state due to biliary pancreatitis and acute severe cholangitis (Figure 1). Emergent balloon enteroscopy was considered difficult because the patient's general condition was relatively poor and a lengthy time was required to complete the intervention.

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