Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent
Background and study aims We report the effectiveness of a newly developed plastic stent for preventing bile leakage after endoscopic ultrasonography (EUS)-guided antegrade stenting. This treatment was performed on a 59-year-old woman with malignant obstructive jaundice caused by peritoneal metastas...
Main Authors: | , , , , , , , , , , , , , |
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Format: | Article |
Language: | English |
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Georg Thieme Verlag KG
2018-11-01
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Series: | Endoscopy International Open |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-0719-4861 |
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author | Kazuhiro Minami Eisuke Iwasaki Takao Itoi Seiichiro Fukuhara Masayasu Horibe Takashi Seino Shintaro Kawasaki Tadashi Katayama Yoichi Takimoto Hiroki Tamagawa Yujiro Machida Yasuo Hamamoto Haruhiko Ogata Takanori Kanai |
author_facet | Kazuhiro Minami Eisuke Iwasaki Takao Itoi Seiichiro Fukuhara Masayasu Horibe Takashi Seino Shintaro Kawasaki Tadashi Katayama Yoichi Takimoto Hiroki Tamagawa Yujiro Machida Yasuo Hamamoto Haruhiko Ogata Takanori Kanai |
author_sort | Kazuhiro Minami |
collection | DOAJ |
description | Background and study aims We report the effectiveness of a newly developed plastic stent for preventing bile leakage after endoscopic ultrasonography (EUS)-guided antegrade stenting. This treatment was performed on a 59-year-old woman with malignant obstructive jaundice caused by peritoneal metastasis. First, we attempted transpapillary drainage using short-type single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography, but we could not achieve it. We then attempted EUS-guided antegrade stenting through the intrahepatic bile duct from the esophagojejunal anastomosis. We successfully inserted uncovered metallic stents for common bile duct and a newly plastic stent for hepaticojejunostomy from the antegrade approach. There were no adverse events after the treatment. |
first_indexed | 2024-12-10T19:06:08Z |
format | Article |
id | doaj.art-edf26e285acd47168b4f6af68fb90e94 |
institution | Directory Open Access Journal |
issn | 2364-3722 2196-9736 |
language | English |
last_indexed | 2024-12-10T19:06:08Z |
publishDate | 2018-11-01 |
publisher | Georg Thieme Verlag KG |
record_format | Article |
series | Endoscopy International Open |
spelling | doaj.art-edf26e285acd47168b4f6af68fb90e942022-12-22T01:36:54ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362018-11-010611E1336E133910.1055/a-0719-4861Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stentKazuhiro Minami0Eisuke Iwasaki1Takao Itoi2Seiichiro Fukuhara3Masayasu Horibe4Takashi Seino5Shintaro Kawasaki6Tadashi Katayama7Yoichi Takimoto8Hiroki Tamagawa9Yujiro Machida10Yasuo Hamamoto11Haruhiko Ogata12Takanori Kanai13Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanDepartment of Gastroenterological Medicine, Tokyo Medical University, 6-7-1, Nishishinjuku, Shinjuku-ku, Tokyo, JapanCenter for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanCenter for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanCenter for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, JapanBackground and study aims We report the effectiveness of a newly developed plastic stent for preventing bile leakage after endoscopic ultrasonography (EUS)-guided antegrade stenting. This treatment was performed on a 59-year-old woman with malignant obstructive jaundice caused by peritoneal metastasis. First, we attempted transpapillary drainage using short-type single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography, but we could not achieve it. We then attempted EUS-guided antegrade stenting through the intrahepatic bile duct from the esophagojejunal anastomosis. We successfully inserted uncovered metallic stents for common bile duct and a newly plastic stent for hepaticojejunostomy from the antegrade approach. There were no adverse events after the treatment.http://www.thieme-connect.de/DOI/DOI?10.1055/a-0719-4861 |
spellingShingle | Kazuhiro Minami Eisuke Iwasaki Takao Itoi Seiichiro Fukuhara Masayasu Horibe Takashi Seino Shintaro Kawasaki Tadashi Katayama Yoichi Takimoto Hiroki Tamagawa Yujiro Machida Yasuo Hamamoto Haruhiko Ogata Takanori Kanai Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent Endoscopy International Open |
title | Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent |
title_full | Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent |
title_fullStr | Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent |
title_full_unstemmed | Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent |
title_short | Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent |
title_sort | successful eus guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-0719-4861 |
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