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...

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Main Authors: 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
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2018-11-01
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.
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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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