首页|Partial stent-in-stent placement of biliary metallic stents using a short double-balloon enteroscopy

Partial stent-in-stent placement of biliary metallic stents using a short double-balloon enteroscopy

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Endoscopic intervention is less invasive than percutaneous or surgical approaches and should be considered the primary drainage procedure in most cases with obstructive jaundice.Recently,therapeutic endoscopic retrograde cholangiopancreatography (ERCP) using double-balloon enteroscopy (DBE) has been shown to be feasible and effective,even in patients with surgically altered anatomies.On the other hand,endoscopic partial stent-in-stent (PSIS) placement of selfexpandable metallic stents (SEMSs) for malignant hilar biliary obstruction in conventional ERCP has also been shown to be feasible,safe and effective.We performed PSIS placement of SEMSs for malignant hilar biliary obstruction due to liver metastasis using a short DBE in a patient with Roux-en-Y anastomosis and achieved technical and clinical success.This procedure can result in quick relief from obstructive jaundice in a single session and with short-term hospitalization,even in patients with surgically altered anatomies.

Double-balloon enteroscopyMalignant hilar biliary obstructionSelf-expandable metallic stentPartial stent in stentRoux-en-Y anastomosis

Koichiro Tsutsumi、Hironari Kato、Takeshi Tomoda、Kazuyuki Matsumoto、Ichiro Sakakihara、Naoki Yamamoto、Yasuhiro Noma

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Department of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine, Okayama 700-8558,Japan

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(45)
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