Open AccessPartial stent-in-stent placement of biliary metallic stents using a short double-balloon enteroscopy
Author(s) -
Koichiro Tsutsumi,
Hironari Kato,
Takeshi Tomoda,
Kazuyuki Matsumoto,
Ichiro Sakakihara,
Naoki Yamamoto,
Yasuhiro Noma,
Takayuki Sonoyama,
Hiroyuki Okada,
Kazuhide Yamamoto
Publication year - 2012
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v18.i45.6674
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , stent , biliary drainage , double balloon enteroscopy , enteroscopy , obstructive jaundice , radiology , surgery , percutaneous , anastomosis , balloon , endoscopy , pancreatitis
Endoscopic intervention is less invasive than percutaneous or surgical approaches and should be considered the primary drainage procedure in most cases with obstructive jaundice. Recently, therapeutic endoscopic retrograde cholangiopancreatography (ERCP) using double-balloon enteroscopy (DBE) has been shown to be feasible and effective, even in patients with surgically altered anatomies. On the other hand, endoscopic partial stent-in-stent (PSIS) placement of self-expandable metallic stents (SEMSs) for malignant hilar biliary obstruction in conventional ERCP has also been shown to be feasible, safe and effective. We performed PSIS placement of SEMSs for malignant hilar biliary obstruction due to liver metastasis using a short DBE in a patient with Roux-en-Y anastomosis and achieved technical and clinical success. This procedure can result in quick relief from obstructive jaundice in a single session and with short-term hospitalization, even in patients with surgically altered anatomies.