T-tube assisted, non-endoscopic method for endobiliary drainage in a patient with Billroth II gastrectomy

Introduction: Several studies has shown that the rate to gain access to the main duodenal papilla and perform therapeutic ERCP in patients with previous Billroth II gastrectomy is only 60–70%. However, recent studies have reported better results using double balloon enteroscope, but its widespread use is limited. Now, we report a simple, less invasive and readily available method for treatment of extra hepatic biliary obstruction in a patient with previous Billroth II gastrectomy. Case report: The 90 year old male patient who suffered from number of chronic diseases presented with acute cholangitis caused by mul…