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ENDOSCOPIC ULTRASOUND‐GUIDED BILIARY DRAINAGE PERFORMED FOR REFRACTORY BILE DUCT STENOSIS DUE TO CHRONIC PANCREATITIS: A CASE REPORT
Author(s) -
KATANUMA AKIO,
MAGUCHI HIROYUKI,
OSANAI MANABU,
TAKAHASHI KUNIYUKI
Publication year - 2012
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.1443-1661.2012.01256.x
Subject(s) - medicine , pancreatitis , stent , stenosis , bile duct , radiology , refractory (planetary science) , endoscopic ultrasound , jaundice , surgery , fistula , common bile duct , physics , astrobiology
We report a case of the patient who underwent endoscopic ultrasound‐guided biliary drainage (EUS‐BD) for refractory bile duct stenosis due to chronic pancreatitis. The patient had repeatedly undergone endoscopic biliary stenting for bile duct stenosis due to chronic pancreatitis. Because of repeated relapses of cholangitis and jaundice, transpapillary treatment was judged to have reached its limits. Surgical bypass was attempted but had to be abandoned due to adhesions. Thus, EUS‐BD was performed. The procedure was successful, and placement of a covered expandable metallic stent (C‐EMS) relieved cholangitis. Two months after placement, the C‐EMS was removed, and the patient became stent‐free but closure of the fistula subsequently occurred.