Temporary endosonography-guided biliary drainage for transgastrointestinal deployment of a self-expandable metallic stent.

Journal of Gastroenterology
Naotaka FujitaToshiki Sugawara

Abstract

Endosonography-guided biliary drainage (ESBD) is now gaining acceptance as a useful alternative for the management of obstructive jaundice.(1) At present, ESBD is used mainly to establish an anastomosis between the biliary tree and the duodenum, stomach, jejunum, or esophagus by placing a stent so as to bridge the bile duct and alimentary tract. We herein report a new application of ESBD, that is, its temporary use for gaining access to the bile duct in order to deploy a self-expandable metallic stent (SEMS) via the transhepatic route. In a patient with pylorus stenosis due to advanced gastric cancer with extrahepatic bile duct obstruction caused by nodal metastasis, a plastic stent was placed temporarily by ESBD to bridge the esophagus and the left hepatic duct. Ten days later, the stent was retrieved, leaving a guidewire in the bile duct, and a delivery unit of a SEMS was introduced into the bile duct over the guidewire via the sinus tract. The SEMS was then successfully deployed through the stenosis. No stent was left in the sinus tract. This procedure yields a mature fistula through which a delivery unit can be safely introduced into the bile duct followed by uneventful deployment of a SEMS.

References

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Jan 15, 2004·Gastrointestinal Endoscopy·Shawn MalleryMartin L Freeman
Jul 2, 2004·Gastrointestinal Endoscopy·Michel KahalehPaul Yeaton
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Oct 2, 2007·World Journal of Gastroenterology : WJG·Naotaka FujitaKazunari Nakahara

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Citations

Aug 21, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Osamu TakasawaTakashi Obana
Aug 26, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kei ItoJun Horaguchi
Dec 8, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Jun HoraguchiYoshihide Kanno
Jul 2, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kei ItoGo Kobayashi
Apr 18, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kei ItoKaori Masu
Oct 20, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Jun HoraguchiShoutarou Ishii
Apr 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Savreet SarkariaMichel Kahaleh
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Feb 21, 2009·Gastrointestinal Endoscopy·Thomas J SavidesUNKNOWN EUS 2008 Working Group
Jun 30, 2010·Diagnostic and Therapeutic Endoscopy·Kei ItoYoshihide Kanno
Oct 7, 2009·Journal of Hepato-biliary-pancreatic Sciences·Takao ItoiAkihiko Tsuchida
Feb 10, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Marco J Bruno
May 9, 2012·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Everson L A ArtifonPaulo Sakai
Sep 14, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yousuke NakaiKazuhiko Koike
Jun 29, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kosuke Minaga, Masayuki Kitano
Apr 27, 2019·Journal of Hepato-biliary-pancreatic Sciences·Hiroyuki IsayamaKazuo Inui
Apr 6, 2013·Gut and Liver·Savreet SarkariaMichel Kahaleh
Jan 4, 2020·Endoscopic Ultrasound·Marc Giovannini

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