Effectiveness of combined biliary and duodenal stenting in patients with malignant biliary and duodenal obstruction

Scandinavian Journal of Gastroenterology
Kyeong Ok KimHo Chan Lee

Abstract

Concomitant biliary and duodenal obstructions are not uncommon complications in patients with gastroduodenal or pancreatobiliary malignancies. Alleviation of obstruction is very important for the palliation of inoperable patients. We studied the clinical outcomes of combined biliary and duodenal stenting. Between January 2003 and January 2010, the records of 24 patients who underwent biliary and duodenal stent placement due to inoperable malignant biliary and duodenal obstruction were reviewed retrospectively. Of the 24 patients, a duodenal stent was placed after biliary stenting in 23 patients and a biliary stent was placed after duodenal stenting in one patient. Biliary stents were placed endoscopically (33 cases) or percutaneously (14 cases). Duodenal stents were placed endoscopically by fluoroscopic guidance in all patients. Oral feeding was possible at a mean of 2.7 ± 1.2 days (range, 1-6 days) after duodenal stenting. Acute pancreatitis and acute cholangitis developed in three patients and one patient, respectively, as early complications after biliary stenting. Biliary stent occlusion was developed in 12 patients and was treated successfully by stent reinsertion. As complications of duodenal stent, one case of stent migr...Continue Reading

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Citations

Oct 12, 2013·World Journal of Gastroenterology : WJG·Oliver WaidmannJörg Gerhard Albert
Apr 24, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takamitsu SatoKenji Yamao
Aug 24, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yousuke NakaiKazuhiko Koike
Dec 6, 2019·Journal of Gastroenterology and Hepatology·Yousuke NakaiBenedict Devereaux
May 3, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ryosuke TonozukaFuminori Moriyasu
Feb 19, 2016·Experimental and Therapeutic Medicine·Liang ZhaoYubao Zhang
May 1, 2020·Clinical and Translational Gastroenterology·Anna FábiánZoltán Szepes
Nov 7, 2018·World Journal of Gastrointestinal Surgery·Chelsey C CiambellaThomas J Miner
May 16, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ji Hye KwonKyu Bo Sung
Aug 8, 2021·Journal of Clinical Medicine·Tsuyoshi TakedaNaoki Sasahira

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