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Combined Use of Uncovered Duodenal and Covered Biliary Metallic Stent for Carcinoma of the Papilla of Vater
Author(s) -
Sano Hitoshi,
Ohara Hirotaka,
Nakazawa Takahiro,
Yamada Tamaki,
Saso Katsuhisa,
Ando Hakuji,
Hashimoto Takashi,
Kajino Shinichi,
Ando Tomoaki,
Nakamura Soichi,
Nomura Tomoyuki,
Joh Takashi,
Yokoyama Yoshifumi,
Itoh Makoto
Publication year - 2000
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.2000.00076.x
Subject(s) - medicine , major duodenal papilla , stent , biliary stent , surgery , jaundice , self expandable metallic stent , percutaneous , palliative treatment , biliary drainage , radiology
We have reported successful implantation of self‐expandable metallic stents for palliative treatment in a case of an 87‐year‐old female patient with carcinoma of the papilla of Vater. She suffered from both duodenal and biliary stenoses, but refused surgical treatment. For the duodenal stenting, a self‐expandable knitted nitinol metallic stent, for esophageal use, was inserted endoscopically. For the biliary stenting, a self‐expandable metallic stent, partially polyurethane‐covered on the proximal part to prevent tumor ingrowth and overgrowth, was inserted via the percutaneous transhepatic biliary drainage route. No major complications occured during these procedures. After the two stents were inserted in an end‐to‐side fashion, she was able to eat a normal diet adequately and suffered from no abdominal symptoms and jaundice during the follow‐up period of 13 months. These stenting procedures might be less invasive and more useful than surgical treatment and provide long patency of biliary stenting and a good quality of life.