z-logo
Premium
DIRECT CHOLANGIOSCOPY USING A DOUBLE‐BALLOON ENTEROSCOPE: CHOLEDOCHOJEJUNOSTOMY WITH INTRADUCTAL BILIARY CARCINOMA
Author(s) -
Okabe Yoshinobu,
Kuwaki Kotaro,
Kawano Hiroshi,
Kaji Ryohei,
Sugiyama Gen,
Ishida Yusuke,
Yasumoto Makiko,
Naito Yoshiki,
Toyonaga Atsushi,
Tsuruta Osamu,
Sata Michio
Publication year - 2010
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 - 10.1111/j.1443-1661.2010.01013.x
Subject(s) - medicine , enteroscopy , radiology , bile duct carcinoma , bile duct , double balloon enteroscopy , carcinoma , papillary tumor , gallstones , balloon , cholangiography , intrahepatic bile ducts , endoscopy , gastroenterology
A 75‐year‐old man who underwent choledochojejunostomy for gallstones 30 years ago was hospitalized for general malaise. Abdominal computed tomography revealed marked dilation of the intrahepatic bile duct in the right lobe and an image of a hypervascular tumor. Endoscopic retrograde cholangiography using double‐balloon enteroscopy (DBE) showed a filling defect that was localized to the right hepatic bile duct. Furthermore, the scope was able to readily pass through the anastomosed site of the choledochojejunostomy and, therefore, we observed the interior of the bile duct using the same scope. We obtained an image showing a whitish, papillary‐like tumor, and a biopsy of the tumor rendered the pathology of intraductal papillary mucinous carcinoma. Direct cholangioscopy using DBE is a useful diagnostic tool, particularly in patients with a past history of choledochojejunostomy.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here